Provider Demographics
NPI:1477013795
Name:AMEND, JULIA RACHEL (RM, CPM, RN, BSN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:RACHEL
Last Name:AMEND
Suffix:
Gender:F
Credentials:RM, CPM, RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S CLARKSON ST APT 204
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2854
Mailing Address - Country:US
Mailing Address - Phone:720-244-5209
Mailing Address - Fax:
Practice Address - Street 1:3300 S CLARKSON ST APT 204
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2854
Practice Address - Country:US
Practice Address - Phone:720-244-5209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000187176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife