Healthcare Provider Details

I. General information

NPI: 1760784698
Provider Name (Legal Business Name): JULIANNE ENGERMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 10/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8199 SOUTHPARK LN SUITE 100
LITTLETON CO
80120-5667
US

IV. Provider business mailing address

1707 COLE BLVD SUITE 100
GOLDEN CO
80401-3220
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-3332
  • Fax: 303-730-7766
Mailing address:
  • Phone: 303-716-8013
  • Fax: 303-763-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number83327
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: