Provider Demographics
NPI:1205957172
Name:HOPFER, DELIA VERONICA (RN, MSN)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:VERONICA
Last Name:HOPFER
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 W GUADALUPE RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-7575
Mailing Address - Country:US
Mailing Address - Phone:480-472-3027
Mailing Address - Fax:480-472-3075
Practice Address - Street 1:2015 E BALBOA DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4004
Practice Address - Country:US
Practice Address - Phone:480-472-3027
Practice Address - Fax:480-472-3075
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN041376163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ623761Medicaid