Provider Demographics
NPI:1144380940
Name:HOFFMAN, HOLLI MARIE (DNP PMHNP, FNP)
Entity type:Individual
Prefix:MS
First Name:HOLLI
Middle Name:MARIE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DNP PMHNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2372
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-7372
Mailing Address - Country:US
Mailing Address - Phone:925-548-5490
Mailing Address - Fax:
Practice Address - Street 1:5776 STONERIDGE MALL RD STE 300
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4522
Practice Address - Country:US
Practice Address - Phone:925-556-6274
Practice Address - Fax:925-556-0485
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14724363LP2300X, 363LP0808X
CA595889363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1598833733Medicare NSC