Healthcare Provider Details

I. General information

NPI: 1447944772
Provider Name (Legal Business Name): AMANDA HEMANN AU.D, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MADISON ST STE 402
DENVER CO
80206-5413
US

IV. Provider business mailing address

10493 ADAMS ST
NORTHGLENN CO
80233-4474
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-2054
  • Fax:
Mailing address:
  • Phone: 319-899-6912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD.0001199
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: