Individual
JULIE MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2643 PATTERSON RD, SUITE 605, GRAND JUNCTION, CO 81506-1936
(970) 298-2482
(970) 298-1701
Mailing address
2643 PATTERSON RD, SUITE 605, GRAND JUNCTION, CO 81506-1936
(970) 298-2482
(970) 298-1701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-990226
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160580
STATE LICENSE
CO
01
—
NP-990226
NURSE PRACTITIONER
CO
Enumeration date
08/07/2011
Last updated
11/15/2016
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