Basic Information
| Provider Information | |||||||||
| NPI: | 1811333982 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RATTERMAN | ||||||||
| FirstName: | CAITLAN | ||||||||
| MiddleName: | MAURA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | GANLEY | ||||||||
| OtherFirstName: | CAITLAN | ||||||||
| OtherMiddleName: | MAUREA | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 9670 W. COAL MINE AVE. SUITE 100 | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801234006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037255010 | ||||||||
| FaxNumber: | 2122636826 | ||||||||
| Practice Location | |||||||||
| Address1: | 9670 W. COAL MINE AVE. SUITE 100 | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801234006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037255010 | ||||||||
| FaxNumber: | 2122636826 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2013 | ||||||||
| LastUpdateDate: | 05/14/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | DR0058076 | CO | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | DR.0058076 | CO | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.