Individual
HANNAH PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
361 2ND AVE # 101, NIWOT, CO 80544-5004
(720) 686-7546
Mailing address
361 2ND AVE # 101, NIWOT, CO 80544-5004
(720) 686-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0065965
CO
207R00000X
Internal Medicine Physician
665475
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
08/12/2024
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