Basic Information
Provider Information
NPI: 1871939058
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARDLAND
FirstName: JANNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 110429
Address2:  
City: AURORA
State: CO
PostalCode: 800420429
CountryCode: US
TelephoneNumber: 3034937000
FaxNumber:  
Practice Location
Address1: 1635 AURORA CT STE F750
Address2:  
City: AURORA
State: CO
PostalCode: 800452541
CountryCode: US
TelephoneNumber: 7208483400
FaxNumber: 7208483401
Other Information
ProviderEnumerationDate: 05/15/2013
LastUpdateDate: 08/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XDR.0056747CON Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0300X56747CON Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
207RG0300XDR.0056747COY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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