Provider Demographics
NPI:1558676668
Name:HANSON, ANNE H (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:H
Last Name:HANSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1390 S POTOMAC ST STE 124
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4529
Mailing Address - Country:US
Mailing Address - Phone:303-368-8611
Mailing Address - Fax:303-840-1473
Practice Address - Street 1:9399 CROWN CREST BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8506
Practice Address - Country:US
Practice Address - Phone:303-840-1472
Practice Address - Fax:303-840-1473
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO2444208D00000X
CO0053513207N00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO366281YMWAMedicare PIN