Basic Information
| Provider Information | |||||||||
| NPI: | 1467005199 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAVIDSON | ||||||||
| FirstName: | HANNAH | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 950 CARR ST | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802145015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6143781560 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1721 E 19TH AVE STE 200-300 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802181251 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207544800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2019 | ||||||||
| LastUpdateDate: | 12/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 1658899 | CO | N | Nursing Service Providers | Registered Nurse | 163W00000X | 412841 | OH | N | Nursing Service Providers | Registered Nurse | 363LA2200X | APN.0994704-NP | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363L00000X | 5994704 | CO | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.