Individual
GERALDINE RAE HOLTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
PO BOX 7, FT LUPTON, CO 80621-0007
(970) 304-6420
(970) 304-6416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65296
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74237713
—
CO
Enumeration date
10/04/2005
Last updated
07/08/2007
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