Healthcare Provider Details
I. General information
NPI: 1447211487
Provider Name (Legal Business Name): NICOLE ELAINE HOFFMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2006
Last Update Date: 04/12/2025
Certification Date: 04/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8671 S QUEBEC ST STE 210
HIGHLANDS RANCH CO
80130-5861
US
IV. Provider business mailing address
5350 S ROSLYN ST STE 100
GREENWOOD VILLAGE CO
80111-2109
US
V. Phone/Fax
- Phone: 303-403-6850
- Fax: 303-403-6391
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 41131 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: