Healthcare Provider Details

I. General information

NPI: 1033307129
Provider Name (Legal Business Name): GEORGINE M PRATER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 FRANKLIN ST ORTHOPEDICS
DENVER CO
80205-5437
US

IV. Provider business mailing address

2045 FRANKLIN ST. ORTHOPEDICS
DENVER CO
80205
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-3408
  • Fax: 303-861-3623
Mailing address:
  • Phone: 303-861-3408
  • Fax: 303-861-3623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number168350
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: