Provider Demographics
NPI:1699919175
Name:PREDHOMME, JULIE ANN (RN, ANP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:PREDHOMME
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 6511
Mailing Address - Street 2:RESEARCH 2, C238-P15
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-1087
Mailing Address - Fax:303-724-6135
Practice Address - Street 1:12401 E. 17TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-848-6666
Practice Address - Fax:720-848-7370
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COR.N.LICENSE-51297363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORX01-302OtherSTATE BOARD OF NURSING