Provider Demographics
NPI:1962737577
Name:HOFFMAN, KAREN (APRN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 RACHEL DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3789
Mailing Address - Country:US
Mailing Address - Phone:860-977-4572
Mailing Address - Fax:
Practice Address - Street 1:28 RACHEL DRIVE
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3789
Practice Address - Country:US
Practice Address - Phone:860-977-4572
Practice Address - Fax:860-769-5009
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4187363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner