Active NPI
Wanda Davis Hoffman, ARNP
- Pediatric Nurse Practitioner
- Eglin Afb, FL
National Provider Identifier
1306830880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP/RN 3113372
- Practice address
- 307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391 - Phone
- (850) 883-8550
- Fax
- (850) 883-8094
- NPI assigned
- Sep 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP/RN 3113372 | FL | Primary |
Addresses
Primary practice location
307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391
Mailing address
96 MDG Sgoc
Eglin Afb, FL 32542
Phone (850) 883-8780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP/RN 3113372 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1306830880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 MDG SGOC",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "32542",
"telephone_number": "850-883-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"address_2": "SUITE 114",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421391",
"telephone_number": "850-883-8550",
"fax_number": "850-883-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "WANDA",
"middle_name": "DAVIS",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-09",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP/RN 3113372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eglin Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.