Provider Demographics
NPI:1770739328
Name:HOFFARTH, CAROL J (ARNP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:HOFFARTH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:J
Other - Last Name:SCHLADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-1474
Mailing Address - Fax:
Practice Address - Street 1:22 N GEORGIA AVE
Practice Address - Street 2:STE 310
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3435
Practice Address - Country:US
Practice Address - Phone:641-424-0030
Practice Address - Fax:341-424-0080
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC051682363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI0923153Medicare PIN
IAIB1318001Medicare PIN