Provider Demographics
NPI:1922674464
Name:HOFF, LUZVIMINDA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:LUZVIMINDA
Middle Name:
Last Name:HOFF
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15527 BURKE AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6032
Mailing Address - Country:US
Mailing Address - Phone:206-295-4783
Mailing Address - Fax:206-364-0493
Practice Address - Street 1:15503 8TH AVE NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-6238
Practice Address - Country:US
Practice Address - Phone:206-295-4783
Practice Address - Fax:206-364-0493
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00141267163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health