MEDICARE: JULIE PECK NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	160684	CO

General Provider Information

NPI Number	:	1457345753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE PECK NP

Provider Business Mailing Address
First Line	:	701 E HAMPDEN AVE
Second Line	:	SUITE # 530
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2736
Country	:	US
Telephone Number	:	303-788-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E HAMPDEN AVE
Second Line	:	SUITE # 530
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2736
Country	:	US
Telephone Number	:	303-788-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	03/07/2023

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