MS. LAURA BETH HUNDEMANN


Address: 2919 Valmont Rd Ste 204, Boulder, CO 80301-1350
Phone: 3039381110

MS. LAURA BETH HUNDEMANN (NPI# 1386919793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386919793
Entity Type Individual
Full Name MS. LAURA BETH HUNDEMANN
Credential PA-C
Practice Address 2919 Valmont Rd Ste 204
Boulder
CO 80301-1350
Mailing Address 2919 Valmont Rd # 204
Boulder
CO 80301-1350
Practice Telephone 3039381110
Practice Fax Number 3039381145
Mailing Telephone 3039381110
Mailing Fax Number 3039381145
Enumeration Date 2012-03-19
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
3395 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 70073040 05

Office Location

Street Address 2919 VALMONT RD STE 204
City BOULDER
State CO
Zip Code 80301-1350

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356326888 Alison Merser Moore Physician Assistant 1949 Pearl St, Boulder, CO 80302-4496 2005-12-07
1184175952 Reed P Fischer Physician Assistant 1755 48th St Ste 200, Boulder, CO 80301-2712 2016-10-17
1366802035 Rachel Morr Physician Assistant 2525 13th St, Boulder, CO 80304-4104 2016-02-24
1386918977 Jennifer Lau Stanzel Physician Assistant 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1080 2012-02-29
1417268970 Zachary D Kahn Physician Assistant 2750 Broadway St, Boulder, CO 80304-3573 2010-06-29
1770812588 Jonathan Ellis Welker Physician Assistant 4801 Riverbend Rd Ste 200, Boulder, CO 80301-2613 2009-12-08
1295068682 Melissa J Guerri Physician Assistant 4745 Arapahoe Ave, #130, Boulder, CO 80303-1080 2009-09-16
1528297439 Rebecca Jane Barnes Physician Assistant 805 S Broadway St, Ste 103, Boulder, CO 80305-5971 2009-07-13
1023140035 Darrin Paul Guitreau Physician Assistant 4895 Riverbend Rd, Boulder, CO 80301-2640 2007-03-12
1770613838 Jessica Elaine Moore-scheeler Physician Assistant 4743 Arapahoe Ave, Suite 102, Boulder, CO 80303-1123 2007-03-07
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Competitor

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City BOULDER
Zip Code 80301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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