Healthcare Provider Details

I. General information

NPI: 1831786326
Provider Name (Legal Business Name): HOFFMAN ANESTHESIA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 12/30/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 STONY BROOK BLVD
OMAHA NE
68137-6813
US

IV. Provider business mailing address

3312 ANDERSEN ST
NORFOLK NE
68701-1634
US

V. Phone/Fax

Practice location:
  • Phone: 402-979-9635
  • Fax:
Mailing address:
  • Phone: 308-930-0389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: TERESA HOFFMAN
Title or Position: PRESIDENT
Credential: CRNA
Phone: 308-930-0389