Provider Demographics
NPI:1740646868
Name:HOFFMAN, TIFFANY (MIDWIFE)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 W TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1724
Mailing Address - Country:US
Mailing Address - Phone:775-338-0755
Mailing Address - Fax:775-204-9155
Practice Address - Street 1:12 W TAYLOR ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1724
Practice Address - Country:US
Practice Address - Phone:775-338-0755
Practice Address - Fax:775-204-9155
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM484176B00000X
176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife