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General NPI Number Information
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NPI Number | 1194703926
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Entity Type | Individual
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Provider Name | JULIE ANN DEVITA-BAILEY D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 2551 W 84TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80031-3807
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Country | US
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Telephone | 303-561-5010
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Fax | 303-561-5050
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Provider Business Mailing Address
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Address Line | 1212 E ELIZABETH ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-4007
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Country | US
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Telephone | 970-482-2791
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 2OA8201
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 44663
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | DR.0044663
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License Number State | CO
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