Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN.0994993-NP | CO |
NPI | 1083267017 |
---|---|
Provider Name | Hannah E Malone |
First Address | Arvada, CO 80004-1928 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2019 |
Last Update Date | 07/12/2020 |