Individual
JULIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APN.0003734-NP
CO
363LF0000X
Family Nurse Practitioner
100640
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0003734-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58928871
—
CO
Enumeration date
10/03/2006
Last updated
11/09/2020
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