Provider Demographics
NPI:1548729791
Name:FLATEN, HANNA K (MD)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:K
Last Name:FLATEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HANIA
Other - Middle Name:
Other - Last Name:FLATEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7065
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-0065
Mailing Address - Country:US
Mailing Address - Phone:970-667-3116
Mailing Address - Fax:970-669-0159
Practice Address - Street 1:905 ALPINE AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3305
Practice Address - Country:US
Practice Address - Phone:970-667-3116
Practice Address - Fax:970-669-0159
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0070389207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology