Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Hannah Fanucchi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013411628

Dr. Hannah Fanucchi, MD is an Obstetrics/Gynecology in Longmont, Colorado. Graduated from Albany Medical College of Union University in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Trained at
Albany Medical College of Union University
Licensed in
CO
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1760 E Ken Pratt Blvd Ste 201
Longmont, CO 80504-5311
Phone: (720) 718-8222
Fax: (720) 718-0954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 275 Lasalle St, New Orleans, LA 70112-2615 — (504) 988-5030

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence DR.0068809 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013411628
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address1760 E Ken Pratt Blvd Ste 201, Longmont, CO 80504-5311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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