Individual
MS. JULIE M. KLAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
4740 FLINTRIDGE DR STE 220I, COLORADO SPRINGS, CO 80918-4273
(719) 224-9080
Mailing address
4740 FLINTRIDGE DR STE 220I, COLORADO SPRINGS, CO 80918-4273
(719) 224-9080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
164999
CO
363L00000X
Nurse Practitioner
Primary
APN.0005357-NP
CO
363LF0000X
Family Nurse Practitioner
1110
AK
363LF0000X
Family Nurse Practitioner
5357-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019012763
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215134705
NPI
—
05
—
1215134705
—
CO
05
—
1821667353
—
CO
01
—
840255530065
ROCKY MTN HEALTH PLANS
CO
05
—
91158541
—
CO
Enumeration date
06/28/2007
Last updated
02/18/2024
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