Healthcare Provider Details

I. General information

NPI: 1477013795
Provider Name (Legal Business Name): JULIA RACHEL AMEND RM, CPM, RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 S CLARKSON ST APT 204
ENGLEWOOD CO
80113-2854
US

IV. Provider business mailing address

3300 S CLARKSON ST APT 204
ENGLEWOOD CO
80113-2854
US

V. Phone/Fax

Practice location:
  • Phone: 720-244-5209
  • Fax:
Mailing address:
  • Phone: 720-244-5209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMWR.0000187
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: