Healthcare Provider Details

I. General information

NPI: 1235869132
Provider Name (Legal Business Name): JULIA KAMEISHA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 07/23/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7155 E 38TH AVE
DENVER CO
80207-1630
US

IV. Provider business mailing address

80 HEALTH PARK DR STE 240
LOUISVILLE CO
80027-4644
US

V. Phone/Fax

Practice location:
  • Phone: 800-230-7526
  • Fax:
Mailing address:
  • Phone: 303-665-0150
  • Fax: 303-665-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997638-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: