Provider Demographics
NPI:1174772974
Name:RASNIC, CAYLENE D (RN)
Entity type:Individual
Prefix:
First Name:CAYLENE
Middle Name:D
Last Name:RASNIC
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 1:4295 E MEXICO AVE
Mailing Address - Street 2:#405
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4156
Mailing Address - Country:US
Mailing Address - Phone:720-933-9086
Mailing Address - Fax:
Practice Address - Street 1:4295 E.MEXICO AVENUE
Practice Address - Street 2:#405
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4137
Practice Address - Country:US
Practice Address - Phone:720-933-9086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO85887163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse