Provider Demographics
NPI:1659954436
Name:HOFFMAN, CAROLYN ASHLEY (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:ASHLEY
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1491 HEALTH CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6492
Mailing Address - Country:US
Mailing Address - Phone:405-421-6931
Mailing Address - Fax:
Practice Address - Street 1:1491 HEALTH CENTER PKWY
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6492
Practice Address - Country:US
Practice Address - Phone:405-806-2200
Practice Address - Fax:405-806-2207
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK102055163W00000X
OK206668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse