Healthcare Provider Details

I. General information

NPI: 1376846667
Provider Name (Legal Business Name): ABIGAIL HOFFNER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 12/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 CENTRAL PARK DR SUITE 203
STEAMBOAT SPRINGS CO
80487-8816
US

IV. Provider business mailing address

PO BOX 770375
STEAMBOAT SPRINGS CO
80477-0375
US

V. Phone/Fax

Practice location:
  • Phone: 970-875-2751
  • Fax:
Mailing address:
  • Phone: 970-214-4890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number173381
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: