Healthcare Provider Details

I. General information

NPI: 1275145328
Provider Name (Legal Business Name): ANNA K HOPPE RN, BSN, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3363 W 30TH AVE
DENVER CO
80211-3615
US

IV. Provider business mailing address

3363 W 30TH AVE
DENVER CO
80211-3615
US

V. Phone/Fax

Practice location:
  • Phone: 919-744-1932
  • Fax:
Mailing address:
  • Phone: 919-744-1932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1661411
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: