Provider Demographics
NPI:1750575494
Name:HOFFMAN, DEBRA J (FNP)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:J
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:DICKAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:720-979-0836
Mailing Address - Fax:303-369-1919
Practice Address - Street 1:1400 S POTOMAC ST STE 190
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4514
Practice Address - Country:US
Practice Address - Phone:720-979-0836
Practice Address - Fax:303-369-1919
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72789344Medicaid
CO266043YL7XMedicare PIN