Basic Information
Provider Information
NPI: 1649421405
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: JULIE
MiddleName: W.
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1707 COLE BLVD.
Address2: #100
City: GOLDEN
State: CO
PostalCode: 80401
CountryCode: US
TelephoneNumber: 3037168018
FaxNumber: 3037635495
Practice Location
Address1: 11550 N. SHERIDAN BLVD
Address2:  
City: BROOMFIELD
State: CO
PostalCode: 80020
CountryCode: US
TelephoneNumber: 3034696000
FaxNumber: 3034692922
Other Information
ProviderEnumerationDate: 10/09/2008
LastUpdateDate: 06/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPN.0003183-NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000XAPN0003183NPCON Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home