Healthcare Provider Details

I. General information

NPI: 1104983295
Provider Name (Legal Business Name): BRIANNA NICOLE HOFFMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA NICOLE STINER

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 WEST PEARL STREET
ATKINSON NE
68713
US

IV. Provider business mailing address

PO BOX 975
ATKINSON NE
68713-0975
US

V. Phone/Fax

Practice location:
  • Phone: 402-925-2651
  • Fax: 402-925-2652
Mailing address:
  • Phone: 402-925-2516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11874
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: