Individual
SUE E HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2373 G RD STE 240, GRAND JCT, CO 81505-1006
(970) 243-7908
(970) 245-0656
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(702) 437-9089
(970) 245-0656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161480
CO
176B00000X
Midwife
Primary
APN.0003923-CNM
CO
367A00000X
Advanced Practice Midwife
3923
CO
367A00000X
Advanced Practice Midwife
APN.0003923-CNM
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86526537
—
CO
Enumeration date
08/31/2006
Last updated
05/30/2023
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