Basic Information
Provider Information
NPI: 1184169427
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLATTER
FirstName: BARI
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: MS,RN,PMHCNS-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1693 N. QUENTIN ST.
Address2:  
City: AURORA
State: CO
PostalCode: 80045
CountryCode: US
TelephoneNumber: 7208483000
FaxNumber: 7208483001
Practice Location
Address1: 1693 N. QUENTIN ST.
Address2:  
City: AURORA
State: CO
PostalCode: 80045
CountryCode: US
TelephoneNumber: 7208483000
FaxNumber: 7208483001
Other Information
ProviderEnumerationDate: 12/22/2016
LastUpdateDate: 12/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SP0809XAPN0003724CNSCOY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsych/Mental Health, Adult

No ID Information.


Home