Provider Demographics
NPI:1013259027
Name:FORURIA, GEORGIANNA (RN)
Entity type:Individual
Prefix:MRS
First Name:GEORGIANNA
Middle Name:
Last Name:FORURIA
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:PO BOX 6055
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-6055
Mailing Address - Country:US
Mailing Address - Phone:907-723-4727
Mailing Address - Fax:
Practice Address - Street 1:222 TONGASS DRIVE
Practice Address - Street 2:DIRECTOR OF NURSING
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9661
Practice Address - Country:US
Practice Address - Phone:907-723-4727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK35333163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse