Melody Ann Hoffmann, LPN

Individual provider Active NPI Licensed Practical Nurse · Snowflake, AZ

NPI 1407189798 · NPPES record last updated Sep 30, 2009

Key facts

NPI
1407189798
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LP045779 (AZ)
Practice address
682 W School Bus LN
Snowflake, AZ 85937-5262
Phone
(928) 536-4156
Fax
(928) 536-2995
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LP045779AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Snowflake School District Past Accepting new patients
Snowflake Unified School District #5 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP045779 AZ Yes

Addresses

Primary practice location

682 W School Bus LN
Snowflake, AZ 85937-5262

Mailing address

PO Box 1640
Taylor, AZ 85939-1640
Phone (928) 536-4156

Other providers in Snowflake, AZ

All providers in Snowflake, AZ · Licensed Practical Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.