=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730473281
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EVA HYDINGER STANLEY DIPL. .AC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2011
-----------------------------------------------------
Last Update Date | 06/01/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1805 S BELLAIRE ST #101
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80222-4305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-504-3600
-----------------------------------------------------
Fax | 303-504-3605
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3184 REDSTONE RD
-----------------------------------------------------
City | BOULDER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80305-7176
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-902-3273
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 818
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------