Healthcare Provider Details

I. General information

NPI: 1114073897
Provider Name (Legal Business Name): AMY STORFA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY MICHELE HANSEN MD

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST MC 0224
DENVER CO
80204-4507
US

IV. Provider business mailing address

777 BANNOCK ST MC 0224
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-5221
  • Fax: 303-602-5223
Mailing address:
  • Phone: 303-602-5221
  • Fax: 303-602-5223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number45324
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: