Provider Demographics
NPI:1417724998
Name:SHEAHAN, JULIANA NICHOL (PA)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:NICHOL
Last Name:SHEAHAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13111 E BRIARWOOD AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4149
Mailing Address - Country:US
Mailing Address - Phone:303-805-1800
Mailing Address - Fax:303-805-9323
Practice Address - Street 1:13111 E BRIARWOOD AVE STE 250
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4149
Practice Address - Country:US
Practice Address - Phone:303-805-1800
Practice Address - Fax:303-805-9323
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant