Healthcare Provider Details

I. General information

NPI: 1184169427
Provider Name (Legal Business Name): BARI K PLATTER MS,RN,PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2016
Last Update Date: 12/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1693 N. QUENTIN ST.
AURORA CO
80045
US

IV. Provider business mailing address

1693 N. QUENTIN ST.
AURORA CO
80045
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-3000
  • Fax: 720-848-3001
Mailing address:
  • Phone: 720-848-3000
  • Fax: 720-848-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPN0003724CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: