MEDICARE: AMANDA HEMANN AU.D, CCC-A

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	231H00000X	Audiologist	AUD.0001199	CO

General Provider Information

NPI Number	:	1447944772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA HEMANN AU.D, CCC-A

Provider Business Mailing Address
First Line	:	10493 ADAMS ST
Second Line	:
City	:	NORTHGLENN
State	:	CO
Zip	:	80233-4474
Country	:	US
Telephone Number	:	319-899-6912
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 MADISON ST STE 402
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5413
Country	:	US
Telephone Number	:	303-832-2054
Fax Number	:

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

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	08/31/2023

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