Healthcare Provider Details

I. General information

NPI: 1558793950
Provider Name (Legal Business Name): NANCY LEE HOFFMAN B.S.N, R.N., M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3845 34TH AVE W #206
SEATTLE WA
98199-1647
US

IV. Provider business mailing address

3845 34TH AVE W #206
SEATTLE WA
98199-1647
US

V. Phone/Fax

Practice location:
  • Phone: 206-284-9895
  • Fax: 206-284-9901
Mailing address:
  • Phone: 206-284-9895
  • Fax: 206-284-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number00125493
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: