Provider Demographics
NPI:1588405799
Name:HOFF, CATHERINE (RN, HEALTH COACH)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:HOFF
Suffix:
Gender:F
Credentials:RN, HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6045 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-3348
Mailing Address - Country:US
Mailing Address - Phone:206-856-7597
Mailing Address - Fax:
Practice Address - Street 1:6045 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:FAIRWAY
Practice Address - State:KS
Practice Address - Zip Code:66205-3348
Practice Address - Country:US
Practice Address - Phone:206-856-7597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-159505-012163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse