Individual
SUSAN MARIE HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3957
(970) 493-7442
(970) 493-2990
Mailing address
1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524-3957
(970) 493-7442
(970) 493-2990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32501
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01325018
—
CO
01
—
160023831
RAILROAD RETIREMENT MEDIC
CO
01
—
84059624508
PACIFICARE
—
01
—
KO84088
BCBS
—
Enumeration date
02/14/2006
Last updated
04/09/2015
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