Individual
JACQUELINE A HOFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
31525 ASPEN RIDGE RD., STEAMBOAT SPRINGS, CO 90488
(970) 870-1972
Mailing address
PO BOX 880756, STEAMBOAT SPRINGS, CO 90488
(970) 870-1972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
174030
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601285800
FECA
—
05
—
770203500
—
MD
05
—
92234861
—
CO
Enumeration date
06/03/2006
Last updated
08/21/2013
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