Provider Demographics
NPI:1932282035
Name:HOFFMAN, DIANA S (RN)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:S
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 1:6501 RED HOOK PLZ
Mailing Address - Street 2:SUITE 201-653
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1305
Mailing Address - Country:US
Mailing Address - Phone:340-775-6056
Mailing Address - Fax:
Practice Address - Street 1:6500 RED HOOK PLZ
Practice Address - Street 2:SUITE 205
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1306
Practice Address - Country:US
Practice Address - Phone:340-775-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI9450163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse