Provider Demographics
NPI:1003615048
Name:HOFPAR, ROSALYN MARIE
Entity type:Individual
Prefix:
First Name:ROSALYN
Middle Name:MARIE
Last Name:HOFPAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ROSALYN
Other - Middle Name:MARIE
Other - Last Name:BRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:341 N 44TH ST APT 709
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3741
Mailing Address - Country:US
Mailing Address - Phone:402-446-0174
Mailing Address - Fax:
Practice Address - Street 1:220 N 89TH ST STE 202
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4072
Practice Address - Country:US
Practice Address - Phone:402-502-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE100367163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health