Healthcare Provider Details

I. General information

NPI: 1689061269
Provider Name (Legal Business Name): BRITTANY HOFFMAN-PEREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 WILDERNESS RD BLDG 9481
FORT CARSON CO
80913-4719
US

IV. Provider business mailing address

2751 WILDERNESS RD BLDG 9481
FORT CARSON CO
80913-4719
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-4064
  • Fax:
Mailing address:
  • Phone: 719-526-4064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number827791
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number0194776
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number827791
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number0194776
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number827791
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0194776
License Number StateCO
# 7
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number827791
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number827791
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number827791
License Number StateCA
# 10
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number0194776
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: