Healthcare Provider Details

I. General information

NPI: 1184379307
Provider Name (Legal Business Name): JULIA YBARRA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 YOUNGFIELD ST
WHEAT RIDGE CO
80033-5245
US

IV. Provider business mailing address

3400 YOUNGFIELD ST
WHEAT RIDGE CO
80033-5245
US

V. Phone/Fax

Practice location:
  • Phone: 630-853-1175
  • Fax:
Mailing address:
  • Phone: 303-238-6486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.479226
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002255-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1664944
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: