Provider Demographics
NPI:1730409988
Name:GILBERTSON-WHITE, STEPHANIE HOFFMAN (PHD, ARNP, CNS-BC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:HOFFMAN
Last Name:GILBERTSON-WHITE
Suffix:
Gender:F
Credentials:PHD, ARNP, CNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 SPENCER DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-1821
Mailing Address - Country:US
Mailing Address - Phone:510-457-5213
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT. OF INTERNAL MEDICINE
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-384-8690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533941163WP0000X
CA2530364SA2200X
IAI133262364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163WP0000XNursing Service ProvidersRegistered NursePain Management