Provider Demographics
NPI:1871821439
Name:HOFFMAN, NATALIE (NP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 VIA MARINA
Mailing Address - Street 2:804
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-6891
Mailing Address - Country:US
Mailing Address - Phone:323-251-7985
Mailing Address - Fax:
Practice Address - Street 1:4444 VIA MARINA
Practice Address - Street 2:804
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-6891
Practice Address - Country:US
Practice Address - Phone:323-251-7985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP6379363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner