=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477216976
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HANNAH MARIE FOX DNP, APRN, PMHNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/21/2021
-----------------------------------------------------
Last Update Date | 05/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12424 BIG TIMBER DR UNIT 3
-----------------------------------------------------
City | CONIFER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80433-6410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-722-0122
-----------------------------------------------------
Fax | 720-759-3523
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12424 BIG TIMBER DR UNIT 3
-----------------------------------------------------
City | CONIFER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80433-6410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-722-0122
-----------------------------------------------------
Fax | 720-759-3523
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 12575
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | APN.0997980-NP
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------