Healthcare Provider Details

I. General information

NPI: 1699364570
Provider Name (Legal Business Name): HANNAH SPEAR KOPP FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N. WHEELING ST. MAIL STOP 127
AURORA CO
80045-7211
US

IV. Provider business mailing address

1700 N. WHEELING ST. MAIL STOP 127
AURORA CO
80045-7211
US

V. Phone/Fax

Practice location:
  • Phone: 970-723-7642
  • Fax: 720-723-7877
Mailing address:
  • Phone: 970-723-7642
  • Fax: 720-723-7877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995981-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: