Provider Demographics
NPI:1710524137
Name:AYAAD, JULIE ESTHER
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ESTHER
Last Name:AYAAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 N WEBER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6970
Mailing Address - Country:US
Mailing Address - Phone:719-473-0399
Mailing Address - Fax:719-493-9023
Practice Address - Street 1:2121 N WEBER ST STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6970
Practice Address - Country:US
Practice Address - Phone:720-473-0399
Practice Address - Fax:719-493-9023
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-04
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COANP.0995202.NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health