Healthcare Provider Details

I. General information

NPI: 1730409988
Provider Name (Legal Business Name): STEPHANIE HOFFMAN GILBERTSON-WHITE PHD, ARNP, CNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 02/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR DEPT. OF INTERNAL MEDICINE
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

821 SPENCER DR
IOWA CITY IA
52246-1821
US

V. Phone/Fax

Practice location:
  • Phone: 319-384-8690
  • Fax:
Mailing address:
  • Phone: 510-457-5213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number2530
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberI133262
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number533941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: