Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 48793 | CO |
NPI | 1841470572 |
---|---|
Provider Name | Dr. Melisha G Hanna |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2007 |
Last Update Date | 27/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10025764100 | (05) | NE |
1841470572 | (05) | SD |
1841470572 | (05) | WY |
200743780A | (05) | KS |
80700225 | (05) | CO |