Provider Demographics
NPI:1366045650
Name:ASHCRAFT, JULIE (PHMNP-BC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:PHMNP-BC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2993 BROADMOOR VALLEY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4471
Mailing Address - Country:US
Mailing Address - Phone:719-301-7731
Mailing Address - Fax:719-434-9730
Practice Address - Street 1:2993 BROADMOOR VALLEY RD STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4471
Practice Address - Country:US
Practice Address - Phone:719-301-7731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996137-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty