Healthcare Provider Details

I. General information

NPI: 1750575494
Provider Name (Legal Business Name): DEBRA J HOFFMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA DICKAU

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 06/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S POTOMAC ST STE 190
AURORA CO
80012-4514
US

IV. Provider business mailing address

4900 S MONACO ST SUITE 210
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 720-979-0836
  • Fax: 303-369-1919
Mailing address:
  • Phone: 720-979-0836
  • Fax: 303-369-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number19644
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: