Provider Demographics
| NPI: | 1174651913 |
|---|---|
| Name: | HOFFMAN, AMBER EVON (FNP) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | AMBER |
| Middle Name: | EVON |
| Last Name: | HOFFMAN |
| Suffix: | |
| Gender: | F |
| Credentials: | FNP |
| Other - Prefix: | |
| Other - First Name: | AMBER |
| Other - Middle Name: | EVON |
| Other - Last Name: | ALBRECHT |
| Other - Suffix: | |
| Other - Last Name Type: | Former Name |
| Other - Credentials: | RN |
| Mailing Address - Street 1: | 2321 HARRISON AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | EUREKA |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 95501-3216 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 707-443-2248 |
| Mailing Address - Fax: | 707-443-4847 |
| Practice Address - Street 1: | 2321 HARRISON AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | EUREKA |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 95501-3216 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 707-443-2248 |
| Practice Address - Fax: | 707-443-4847 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-03-01 |
| Last Update Date: | 2025-11-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | 698850 | 163WR0006X, 163W00000X |
| CA | 95002563 | 363LF0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
| No | 163WR0006X | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
| No | 163W00000X | Nursing Service Providers | Registered Nurse |