Healthcare Provider Details

I. General information

NPI: 1215327812
Provider Name (Legal Business Name): VERONICA I HOFFMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 03/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON ROAD 6TH FLOOR
NEWARK DE
19718-2200
US

IV. Provider business mailing address

200 HYGEIA DRIVE SUITE 2300
NEWARK DE
19713-2049
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-6050
  • Fax: 302-322-6251
Mailing address:
  • Phone: 302-995-6192
  • Fax: 302-998-8076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000810
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: