Provider Demographics
NPI:1285893164
Name:WILLIAMS EARNEST, JULIE KAY (RN, MSN, CPNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY
Last Name:WILLIAMS EARNEST
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8594 E 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2543
Mailing Address - Country:US
Mailing Address - Phone:303-331-9269
Mailing Address - Fax:
Practice Address - Street 1:13120 E 19TH AVE
Practice Address - Street 2:C288-5
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2510
Practice Address - Country:US
Practice Address - Phone:303-724-1362
Practice Address - Fax:303-724-1808
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103494163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics