Heather Hasenauer, RN
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Wray, CO
NPI 1962297176 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1962297176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- RN1618211 (CO)
- Practice address
- 1017 W 7TH St
Wray, CO 80758-1420 - Phone
- (970) 332-4811
- NPI assigned
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1618211 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1618211 | CO | |
| Doula | 374J00000X | RN1618211 | CO | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | RN1618211 | CO | Yes |
Addresses
Primary practice location
1017 W 7TH St
Wray, CO 80758-1420
Mailing address
1017 W 7TH St
Wray, CO 80758-1420
Phone (970) 332-4811
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All providers in Wray, CO · Lactation Consultant (Registered Nurse) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.