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NPI Code Detail

MEDICARE: JULIE L GARSIDE NP

MEDICARE: JULIE L GARSIDE NP
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
1363L00000XNurse Practitioner111945CO
2363LA2200XAdult Health Nurse Practitioner111945CO

General Provider Information

NPI Number : 1164474888
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE L GARSIDE NP
Provider Business Mailing Address
First Line : 1000 SOUTH PARK DRIVE
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5654
Country : US
Telephone Number : 303-744-1065
Fax Number : 303-733-1699
Provider Business Practice Location Address
First Line : 1000 SOUTH PARK DRIVE
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5654
Country : US
Telephone Number : 303-744-1065
Fax Number : 303-733-1699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 10/12/2012

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