Provider Demographics
NPI:1205462397
Name:GERALI, RACHELLE BIS (RN)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:BIS
Last Name:GERALI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:HELLNER
Other - Last Name:BIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6278 S TROY CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6422
Mailing Address - Country:US
Mailing Address - Phone:720-382-2770
Mailing Address - Fax:720-484-6076
Practice Address - Street 1:6278 S TROY CIR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6422
Practice Address - Country:US
Practice Address - Phone:720-382-2770
Practice Address - Fax:720-484-6076
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0167791163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice