Healthcare Provider Details

I. General information

NPI: 1467767285
Provider Name (Legal Business Name): DEBORAH HOFFMAN ELLIOTT MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBORAH HOFFMAN ELLIOTT BSN, RN

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 OLD COURTHOUSE RD
APPOMATTOX VA
24522-9853
US

IV. Provider business mailing address

101 CANDLEWOOD CT
LYNCHBURG VA
24502-2654
US

V. Phone/Fax

Practice location:
  • Phone: 434-352-3003
  • Fax: 434-352-5005
Mailing address:
  • Phone: 434-363-4190
  • Fax: 434-363-4191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024168927
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: