Healthcare Provider Details

I. General information

NPI: 1093091787
Provider Name (Legal Business Name): JULIE ANNA LEWEY NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ANNA LEBLANC NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 10/26/2011
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6833 MURPHY CREEK LANE
CASTLE PINES CO
80108-8719
US

IV. Provider business mailing address

6833 MURPHY CREEK LANE
CASTLE PINES CO
80108-8719
US

V. Phone/Fax

Practice location:
  • Phone: 720-788-1278
  • Fax: 720-815-0278
Mailing address:
  • Phone: 720-788-1278
  • Fax: 720-815-0278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2419
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0002419
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0002419
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: