Healthcare Provider Details

I. General information

NPI: 1598529059
Provider Name (Legal Business Name): SUSAN LORI HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 TERMINAL WAY STE 125
RENO NV
89502-2198
US

IV. Provider business mailing address

1005 TERMINAL WAY STE 125
RENO NV
89502-2198
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-4999
  • Fax:
Mailing address:
  • Phone: 775-786-4999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: