Provider Demographics
NPI:1568784007
Name:HOFFMANN, ANNA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 ANDERSON ST
Mailing Address - Street 2:HEALTH CENTER - ROOM 133
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-2520
Mailing Address - Country:US
Mailing Address - Phone:608-246-6027
Mailing Address - Fax:608-246-6488
Practice Address - Street 1:3550 ANDERSON ST
Practice Address - Street 2:HEALTH CENTER - ROOM 133
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-2520
Practice Address - Country:US
Practice Address - Phone:608-246-6027
Practice Address - Fax:608-246-6488
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI121557-030163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health