Provider Demographics
NPI:1679632608
Name:UHERNIK, JULIE ANNE (RN, NCC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:UHERNIK
Suffix:
Gender:F
Credentials:RN, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19557 E MAINSTREET STE 103
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7393
Mailing Address - Country:US
Mailing Address - Phone:303-918-1775
Mailing Address - Fax:303-840-5461
Practice Address - Street 1:19557 E MAINSTREET STE 103
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7393
Practice Address - Country:US
Practice Address - Phone:303-918-1775
Practice Address - Fax:303-840-5461
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO110129163W00000X
CO4714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse