Provider Demographics
NPI:1053826149
Name:GELAUDE, JOSHUA D (RN)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:D
Last Name:GELAUDE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9728 BUCKNELL CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-4393
Mailing Address - Country:US
Mailing Address - Phone:303-809-3443
Mailing Address - Fax:
Practice Address - Street 1:209 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-1901
Practice Address - Country:US
Practice Address - Phone:303-730-7540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0187270163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse