Provider Demographics
NPI:1538604723
Name:HOFF, EDITH S (RN)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:S
Last Name:HOFF
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:PO BOX 200, 1323 BIA ROUTE 4
Mailing Address - Street 2:FT. THOMPSON INDIAN HEALTH SERVICE CENTER
Mailing Address - City:FORT THOMPSON
Mailing Address - State:SD
Mailing Address - Zip Code:57339
Mailing Address - Country:US
Mailing Address - Phone:605-245-1586
Mailing Address - Fax:605-245-2384
Practice Address - Street 1:1323 BIA ROUTE 4
Practice Address - Street 2:FT. THOMPSON INDIAN HEALTH SERVICE CENTER
Practice Address - City:FORT THOMPSON
Practice Address - State:SD
Practice Address - Zip Code:57339
Practice Address - Country:US
Practice Address - Phone:605-245-1586
Practice Address - Fax:605-245-2384
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SDR028904163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health