Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | APN.0995981-NP | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0995981-NP | CO |
NPI | 1699364570 |
---|---|
Provider Name | Hannah Spear Kopp |
First Address | Evergreen, CO 80439-7244 |
Second Address | Denver, CO 80246-8019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2021 |
Last Update Date | 04/03/2021 |