Provider Demographics
NPI:1669612164
Name:HOFFMAN, LYNETTE LOUISE (MSN)
Entity type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:LOUISE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 KAPAA ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-1619
Mailing Address - Country:US
Mailing Address - Phone:808-961-0630
Mailing Address - Fax:808-961-0630
Practice Address - Street 1:167 KAPAA ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-1619
Practice Address - Country:US
Practice Address - Phone:808-961-0630
Practice Address - Fax:808-961-0630
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN56715163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health