Provider Demographics
NPI:1992083752
Name:HOFFMAN, TARA KAYE (APRN)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:KAYE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:THE NEBRASKA MEDICAL CENTER PICU
Mailing Address - Street 2:982145 NEBRASKA MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2145
Mailing Address - Country:US
Mailing Address - Phone:402-559-5257
Mailing Address - Fax:402-559-2025
Practice Address - Street 1:THE NEBRASKA MEDICAL CENTER PICU
Practice Address - Street 2:982145 NEBRASKA MEDICAL CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-2145
Practice Address - Country:US
Practice Address - Phone:402-559-5257
Practice Address - Fax:402-559-2025
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE111279363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics