Provider Demographics
NPI:1992337208
Name:HOFFMAN, XIAO XIAO ZOU (FNP-C)
Entity type:Individual
Prefix:
First Name:XIAO XIAO
Middle Name:ZOU
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 N 1500 W
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-1146
Mailing Address - Country:US
Mailing Address - Phone:801-722-5670
Mailing Address - Fax:
Practice Address - Street 1:1747 N 1500 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-1146
Practice Address - Country:US
Practice Address - Phone:801-722-5670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTF02200187363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily