Provider Demographics
NPI:1467767285
Name:ELLIOTT, DEBORAH HOFFMAN (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:HOFFMAN
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:HOFFMAN
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:101 CANDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2654
Mailing Address - Country:US
Mailing Address - Phone:434-363-4190
Mailing Address - Fax:434-363-4191
Practice Address - Street 1:181 OLD COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:APPOMATTOX
Practice Address - State:VA
Practice Address - Zip Code:24522-9853
Practice Address - Country:US
Practice Address - Phone:434-352-3003
Practice Address - Fax:434-352-5005
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily