Individual
RENAIE HANIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E BOULDER ST STE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005625
CO
363AS0400X
Surgical Physician Assistant
23.003694
CT
Other
Enumeration date
05/24/2016
Last updated
03/15/2022
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