Provider Demographics
NPI:1477028793
Name:MANNING, HOPE (PA-C)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:MANNING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:
Other - Last Name:MCGEHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1260 S PARKER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-8064
Mailing Address - Country:US
Mailing Address - Phone:303-802-5444
Mailing Address - Fax:303-728-9872
Practice Address - Street 1:1260 S PARKER RD STE 201
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-8064
Practice Address - Country:US
Practice Address - Phone:303-802-5444
Practice Address - Fax:303-728-9872
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-13
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0005570363A00000X, 207VG0400X, 208D00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000168109Medicaid