Basic Information
Provider Information
NPI: 1043739865
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRAUSS
FirstName: HANNAH
MiddleName: SARAH
NamePrefix: MS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 660 GOLDEN RIDGE RD STE 250
Address2:  
City: GOLDEN
State: CO
PostalCode: 804019541
CountryCode: US
TelephoneNumber: 3032331223
FaxNumber: 3032338755
Practice Location
Address1: 660 GOLDEN RIDGE RD STE 250
Address2:  
City: GOLDEN
State: CO
PostalCode: 804019541
CountryCode: US
TelephoneNumber: 3032331223
FaxNumber: 3032338755
Other Information
ProviderEnumerationDate: 09/13/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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