Healthcare Provider Details

I. General information

NPI: 1336690593
Provider Name (Legal Business Name): JULIE SCHWENT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 12/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13700 COLORADO BLVD
THORNTON CO
80602-7024
US

IV. Provider business mailing address

2620 ELM HILL PIKE
NASHVILLE TN
37214-3108
US

V. Phone/Fax

Practice location:
  • Phone: 303-451-4250
  • Fax:
Mailing address:
  • Phone: 877-852-2677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0000616-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016033664
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: