Provider Demographics
NPI:1326788449
Name:HARTENBOWER, YULIYA ANASTASIA (DO)
Entity Type:Individual
Prefix:MS
First Name:YULIYA
Middle Name:ANASTASIA
Last Name:HARTENBOWER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5591 S BILOXI WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5854
Mailing Address - Country:US
Mailing Address - Phone:720-436-2044
Mailing Address - Fax:
Practice Address - Street 1:5591 S BILOXI WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5854
Practice Address - Country:US
Practice Address - Phone:720-436-2044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program