Healthcare Provider Details

I. General information

NPI: 1609032002
Provider Name (Legal Business Name): JULIA JANETT BORJA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S PARKER RD STE 300
AURORA CO
80014-1675
US

IV. Provider business mailing address

1448 BOX PRAIRIE CIR
LOVELAND CO
80538-7315
US

V. Phone/Fax

Practice location:
  • Phone: 201-321-0816
  • Fax:
Mailing address:
  • Phone: 201-321-0816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number183010
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: