Healthcare Provider Details

I. General information

NPI: 1619518065
Provider Name (Legal Business Name): CAILLY HANING CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 10/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E HAMPDEN AVE
ENGLEWOOD CO
80113-2702
US

IV. Provider business mailing address

8251 S MARSHALL CT
LITTLETON CO
80128-5864
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-4223
  • Fax:
Mailing address:
  • Phone: 303-895-9223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number0995082
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: