Provider Demographics
NPI:1356190037
Name:GRISINGER, HANNAH ELIZABETH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:GRISINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1303
Mailing Address - Country:US
Mailing Address - Phone:303-237-6140
Mailing Address - Fax:303-237-0626
Practice Address - Street 1:1725 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:CO
Practice Address - Zip Code:80214-1303
Practice Address - Country:US
Practice Address - Phone:303-237-6140
Practice Address - Fax:303-237-0626
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist