=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275231441
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIA ELIZABETH RAMBO PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2023
-----------------------------------------------------
Last Update Date | 03/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2352 MEADOWS BLVD STE 300
-----------------------------------------------------
City | CASTLE ROCK
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80109-8419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-269-2860
-----------------------------------------------------
Fax | 303-269-2861
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2352 MEADOWS BLVD STE 300
-----------------------------------------------------
City | CASTLE ROCK
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80109-8419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-269-2860
-----------------------------------------------------
Fax | 303-269-2861
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | PA.8667
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | MED-PAC-LIC-117488
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------