Provider Demographics
NPI:1750428546
Name:HOFFMAN, KAREN K (RN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:K
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:K
Other - Last Name:GOLDBY-HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-5210
Mailing Address - Country:US
Mailing Address - Phone:602-381-4665
Mailing Address - Fax:
Practice Address - Street 1:1100 N 35TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-5210
Practice Address - Country:US
Practice Address - Phone:602-381-4665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN071811163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ591231Medicaid