Individual
CORINNE D HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10555 E DARTMOUTH AVE, SUITE 200, AURORA, CO 80014-2645
(303) 991-4651
(303) 991-3300
Mailing address
10555 E DARTMOUTH AVE, SUITE 200, AURORA, CO 80014-2645
(303) 991-4651
(303) 991-3300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2031
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064344
NCCPA CERTIFICATION
CO
Enumeration date
11/03/2006
Last updated
07/08/2007
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