Healthcare Provider Details

I. General information

NPI: 1467005199
Provider Name (Legal Business Name): HANNAH DAVIDSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 E 19TH AVE STE 200-300
DENVER CO
80218-1251
US

IV. Provider business mailing address

950 CARR ST
LAKEWOOD CO
80214-5015
US

V. Phone/Fax

Practice location:
  • Phone: 720-754-4800
  • Fax:
Mailing address:
  • Phone: 614-378-1560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1658899
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number412841
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0994704-NP
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5994704
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: