Provider Demographics
NPI:1467875096
Name:HISSONG, ALMA
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:HISSONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 S PARKER RD STE 177
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2748
Mailing Address - Country:US
Mailing Address - Phone:720-480-5086
Mailing Address - Fax:
Practice Address - Street 1:2821 S PARKER RD STE 177
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2748
Practice Address - Country:US
Practice Address - Phone:720-480-5086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No174H00000XOther Service ProvidersHealth Educator