Healthcare Provider Details

I. General information

NPI: 1518196872
Provider Name (Legal Business Name): BRIANNA HOFFNER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 04/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1665 AURORA CT
AURORA CO
80045-2517
US

IV. Provider business mailing address

MAIL STOP 8117 12801 E. 17TH AVE
AURORA CO
80045
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-8027
  • Fax: 720-848-0526
Mailing address:
  • Phone: 720-848-8027
  • Fax: 720-848-0526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0010078-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: