Healthcare Provider Details

I. General information

NPI: 1669230363
Provider Name (Legal Business Name): LAURA KATHERINE HOFFMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA KATHERINE ANDERSON RN

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US

IV. Provider business mailing address

30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-2000
  • Fax:
Mailing address:
  • Phone: 917-751-3816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN771895
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR24746400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number779206
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number161354
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: