Provider Demographics
NPI:1841414893
Name:HOFFMAN, EILEEN REGINA (RN)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:REGINA
Last Name:HOFFMAN
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 1:733 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-3109
Mailing Address - Country:US
Mailing Address - Phone:408-245-0343
Mailing Address - Fax:408-245-0343
Practice Address - Street 1:733 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3109
Practice Address - Country:US
Practice Address - Phone:408-245-0343
Practice Address - Fax:408-245-0343
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA554636163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care