Healthcare Provider Details

I. General information

NPI: 1780665364
Provider Name (Legal Business Name): PAULA ZARLENGO HANSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 GILPIN ST
DENVER CO
80218-1630
US

IV. Provider business mailing address

2499 WARD DR
LAKEWOOD CO
80215-1021
US

V. Phone/Fax

Practice location:
  • Phone: 303-393-0300
  • Fax: 303-321-3843
Mailing address:
  • Phone: 303-232-9036
  • Fax: 303-233-3737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number67118
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: