Provider Demographics
NPI:1629185707
Name:ORTEGA, JULIE ANNE (NP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 S ESTES ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5347
Mailing Address - Country:US
Mailing Address - Phone:303-979-0513
Mailing Address - Fax:
Practice Address - Street 1:3555 LUTHERAN PKWY STE 210
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6037
Practice Address - Country:US
Practice Address - Phone:303-467-2800
Practice Address - Fax:303-467-2861
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO65096363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health