Provider Demographics
NPI:1598013260
Name:JUAN, LILY JO-CHIEH (FNP-C)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:JO-CHIEH
Last Name:JUAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8671 S QUEBEC ST
Mailing Address - Street 2:STE 130
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-5860
Mailing Address - Country:US
Mailing Address - Phone:303-222-7149
Mailing Address - Fax:303-537-5185
Practice Address - Street 1:1537 ALTON ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-1712
Practice Address - Country:US
Practice Address - Phone:303-340-2131
Practice Address - Fax:303-340-2132
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX734510363LF0000X
COAPN.0990823-NP363LP2300X
CORN.1622733163W00000X
CORXN.0100802-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner