Healthcare Provider Details

I. General information

NPI: 1386041044
Provider Name (Legal Business Name): TERRA HANSEN SHARE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERRA KATHLEEN HANSEN RN

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE R
DENVER CO
80203-1859
US

IV. Provider business mailing address

1500 N GRANT ST STE R
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-6490
  • Fax: 719-960-2187
Mailing address:
  • Phone: 720-432-6490
  • Fax: 719-960-2187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN0994880NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0994880-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1629294
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: