Provider Demographics
NPI:1780489575
Name:GEORGES, WHITNEY RAE (PMHNP)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:RAE
Last Name:GEORGES
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:RAE
Other - Last Name:WILLITS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-0049
Mailing Address - Country:US
Mailing Address - Phone:720-373-9023
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 49
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-0049
Practice Address - Country:US
Practice Address - Phone:720-373-9023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1000554-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health