Healthcare Provider Details

I. General information

NPI: 1285893164
Provider Name (Legal Business Name): JULIE KAY WILLIAMS EARNEST RN, MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13120 E 19TH AVE C288-5
AURORA CO
80045-2510
US

IV. Provider business mailing address

8594 E 28TH AVE
DENVER CO
80238-2543
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-1362
  • Fax: 303-724-1808
Mailing address:
  • Phone: 303-331-9269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number103494
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: