MEDICARE: JULIE EDGERTON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APN.1001063-NP	CO

General Provider Information

NPI Number	:	1104344670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE EDGERTON FNP

Provider Business Mailing Address
First Line	:	4941 EATON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12600 W COLFAX AVE B200
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-3733
Country	:	US
Telephone Number	:	303-647-3647
Fax Number	:	303-284-4082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2017
Last Update Date	:	01/21/2026

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