Provider Demographics
NPI:1144549981
Name:HOFF, KATHLEEN MARIE (FNP - BC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MARIE
Last Name:HOFF
Suffix:
Gender:F
Credentials:FNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 W TOWN AND COUNTRY RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4703
Mailing Address - Country:US
Mailing Address - Phone:714-558-2366
Mailing Address - Fax:714-558-2375
Practice Address - Street 1:725 W TOWN AND COUNTRY RD
Practice Address - Street 2:SUITE 130
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4703
Practice Address - Country:US
Practice Address - Phone:714-558-2366
Practice Address - Fax:714-558-2375
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19484363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily