Provider Demographics
NPI:1447211487
Name:HOFFMAN, NICOLE ELAINE (DO)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ELAINE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6422 SILVER MESA DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-5885
Mailing Address - Country:US
Mailing Address - Phone:303-594-6045
Mailing Address - Fax:
Practice Address - Street 1:8671 S QUEBEC ST STE 210
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-5861
Practice Address - Country:US
Practice Address - Phone:303-403-6850
Practice Address - Fax:303-403-6391
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41131207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00533041Medicaid
CO00533041Medicaid
H72755Medicare UPIN