Provider Demographics
NPI:1023318326
Name:HOFSTAEDTER, HILLARY E (RN)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:E
Last Name:HOFSTAEDTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:E
Other - Last Name:PIRTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:10710 MUKILTEO SPEEDWAY # 67
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-5021
Mailing Address - Country:US
Mailing Address - Phone:425-349-8837
Mailing Address - Fax:
Practice Address - Street 1:10710 MUKILTEO SPEEDWAY # 67
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275
Practice Address - Country:US
Practice Address - Phone:425-349-8837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60273886163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult