Individual provider · Type 1 NPI

Hattie Jo Hanson, PA

Medical Physician Assistant · Aurora, CO

NPI number 1114508447 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-4289 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.0007400 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1114508447

Hattie Jo Hanson, PA's National Provider Identifier is 1114508447, issued on Apr 19, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Dec 15, 2022.