Provider Demographics
NPI:1710752951
Name:HAMAN ACHU, MEGHAN (CRNA)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:HAMAN ACHU
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 S JAMAICA CT STE 140
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4601
Mailing Address - Country:US
Mailing Address - Phone:720-231-3233
Mailing Address - Fax:
Practice Address - Street 1:715 CAMDEN ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1619
Practice Address - Country:US
Practice Address - Phone:303-755-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141758367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered