MEDICARE: ROSE HANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.015696	CO

General Provider Information

NPI Number	:	1285187922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE HANG

Provider Business Mailing Address
First Line	:	6220 OLIVE ST
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-3544
Country	:	US
Telephone Number	:	720-404-9180
Fax Number	:

Provider Business Practice Location Address
First Line	:	13801 E YALE AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-2337
Country	:	US
Telephone Number	:	303-695-3244
Fax Number	:	303-695-3241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2016
Last Update Date	:	07/29/2016

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Directions to “ ROSE HANG ” Practice Location

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