Basic Information
| Provider Information | |||||||||
| NPI: | 1518196872 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOFFNER | ||||||||
| FirstName: | BRIANNA | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | MAIL STOP 8117 | ||||||||
| Address2: | 12801 E. 17TH AVE | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208488027 | ||||||||
| FaxNumber: | 7208480526 | ||||||||
| Practice Location | |||||||||
| Address1: | 1665 AURORA CT | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208488027 | ||||||||
| FaxNumber: | 7208480526 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2009 | ||||||||
| LastUpdateDate: | 04/20/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | APN.0010078-NP | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
ID Information
| ID | Type | State | Issuer | Description | 14485044 | 05 | CO | MEDICAID |