Provider Demographics
NPI:1841936846
Name:GUNNISON, HANNAH (APRN)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:GUNNISON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 18TH ST APT 309
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4497
Mailing Address - Country:US
Mailing Address - Phone:913-669-2685
Mailing Address - Fax:
Practice Address - Street 1:1240 S PARKER RD STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2177
Practice Address - Country:US
Practice Address - Phone:844-455-2747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0003998-C-NP202D00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine