Healthcare Provider Details

I. General information

NPI: 1750428546
Provider Name (Legal Business Name): KAREN K. HOFFMAN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN K. GOLDBY-HOFFMAN

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N 35TH ST
PHOENIX AZ
85008-5210
US

IV. Provider business mailing address

1100 N 35TH ST
PHOENIX AZ
85008-5210
US

V. Phone/Fax

Practice location:
  • Phone: 602-381-4665
  • Fax:
Mailing address:
  • Phone: 602-381-4665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN071811
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: