Provider Demographics
NPI:1013538511
Name:COVELLI PACHEK, JULIA ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:COVELLI PACHEK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 SOUTHPARK DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5644
Mailing Address - Country:US
Mailing Address - Phone:303-783-1000
Mailing Address - Fax:
Practice Address - Street 1:761 SOUTHPARK DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5644
Practice Address - Country:US
Practice Address - Phone:303-783-1000
Practice Address - Fax:303-783-1001
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104061363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily