Provider Demographics
NPI:1093348526
Name:ESTRADA, JULIANA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:ESTRADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:450 W 14TH AVE UNIT 40418
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-6217
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1001 BANNOCK ST STE 629
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4150
Practice Address - Country:US
Practice Address - Phone:720-615-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145100363LP0808X
COC-APN.0001922-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health