Individual
HANNAH PIENCIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2877 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-2312
(719) 454-6009
Mailing address
PO BOX 746081, ATLANTA, GA 30374-6081
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1661157
CO
363L00000X
Nurse Practitioner
26NJ00822400
NJ
Other
Enumeration date
01/22/2019
Last updated
09/13/2024
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