Provider Demographics
NPI:1033307129
Name:PRATER, GEORGINE M (RN)
Entity Type:Individual
Prefix:
First Name:GEORGINE
Middle Name:M
Last Name:PRATER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 FRANKLIN ST.
Mailing Address - Street 2:ORTHOPEDICS
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205
Mailing Address - Country:US
Mailing Address - Phone:303-861-3408
Mailing Address - Fax:303-861-3623
Practice Address - Street 1:2045 FRANKLIN ST
Practice Address - Street 2:ORTHOPEDICS
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5437
Practice Address - Country:US
Practice Address - Phone:303-861-3408
Practice Address - Fax:303-861-3623
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO168350163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic