Provider Demographics
NPI:1790666816
Name:ALTMAN-KUROSAKI, HANNAH MICHIYO (MPH, RD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MICHIYO
Last Name:ALTMAN-KUROSAKI
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1859 28TH ST APT 430
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-5256
Mailing Address - Country:US
Mailing Address - Phone:917-583-6357
Mailing Address - Fax:
Practice Address - Street 1:1859 28TH ST APT 430
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-5256
Practice Address - Country:US
Practice Address - Phone:917-583-6357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
086169987133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered