Healthcare Provider Details

I. General information

NPI: 1972749281
Provider Name (Legal Business Name): NANCY HOFFMANN COLLINS BSN, MAED, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S WASHINGTON ST SUITE 300
FALLS CHURCH VA
22046-4020
US

IV. Provider business mailing address

6090 ANSLEY CT
MANASSAS VA
20112-3066
US

V. Phone/Fax

Practice location:
  • Phone: 703-532-2500
  • Fax: 703-237-1184
Mailing address:
  • Phone: 703-615-3094
  • Fax: 703-580-1223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0017001194
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0017001194
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number0017001194
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: