Individual
HANNAH VAN DER WATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 S MCCASLIN BLVD STE 210, SUPERIOR, CO 80027-9701
(303) 993-7910
Mailing address
400 S MCCASLIN BLVD STE 210, SUPERIOR, CO 80027-9701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1622218
CO
363L00000X
Nurse Practitioner
RXN.0102931-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0993348-NP
CO
Other
Enumeration date
11/29/2017
Last updated
10/09/2025
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