Healthcare Provider Details

I. General information

NPI: 1790111896
Provider Name (Legal Business Name): LORI HOFFMAN RNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 09/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 E BASIN RD
NEW CASTLE DE
19720-4214
US

IV. Provider business mailing address

318 E BASIN RD
NEW CASTLE DE
19720-4214
US

V. Phone/Fax

Practice location:
  • Phone: 302-323-2700
  • Fax:
Mailing address:
  • Phone: 302-323-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberL1-0022621
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: