Individual
MRS. JULIE OWEN PUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1067 S HOVER ST STE E-2032, LONGMONT, CO 80501-7904
(888) 292-0799
(888) 655-0677
Mailing address
4664 PALMER CT, LONGMONT, CO 80503-8339
(888) 292-0799
(888) 655-0677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
587753
NY
163W00000X
Registered Nurse
RN.1633739
CO
363LF0000X
Family Nurse Practitioner
337227
NY
363LF0000X
Family Nurse Practitioner
Primary
APN.0992187-NP
CO
363LF0000X
Family Nurse Practitioner
RXN.0101945-NP
CO
Other
Enumeration date
05/11/2012
Last updated
07/12/2021
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