Healthcare Provider Details

I. General information

NPI: 1285914317
Provider Name (Legal Business Name): NICOLE MARIE HAHN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2011
Last Update Date: 08/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 E CENTRETECH PKWY
AURORA CO
80011-9045
US

IV. Provider business mailing address

16601 E CENTRETECH PKWY
AURORA CO
80011-9045
US

V. Phone/Fax

Practice location:
  • Phone: 303-326-7683
  • Fax:
Mailing address:
  • Phone: 303-326-7683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP443780
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA19119
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: