| Doctor Name: | MICHELE HINNEBERG |
| NPI Number: | 1013005719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 89265 |
| Business Practice Address: | 4675 E 69th Ave Commerce City, CO - 800222343 |
| Business Phone Number: | 3032891086 |
| Business Fax Number: | 3032897378 |
| Mailing Address: | 724 Fulton St, AURORA |
| State: | CO |
| Postal Code: | 800103914 |
| Phone Number: | 3033665206 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 89265 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |