Provider Demographics
NPI:1386045870
Name:METCALFE, GEOFFREY (CNA)
Entity type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:
Last Name:METCALFE
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14980 BLUE JAY CT
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-4601
Mailing Address - Country:US
Mailing Address - Phone:303-250-5313
Mailing Address - Fax:
Practice Address - Street 1:14980 BLUE JAY CT
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-4601
Practice Address - Country:US
Practice Address - Phone:303-250-5313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2015-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN. 1630272163W00000X
CONA. 00753094376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No163W00000XNursing Service ProvidersRegistered Nurse