Provider Demographics
NPI:1760735831
Name:QUICKERT, JULIE ANNE (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:QUICKERT
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:FLIAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4848 THOMPSON PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:JOHNSTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80534-6433
Mailing Address - Country:US
Mailing Address - Phone:970-800-4145
Mailing Address - Fax:
Practice Address - Street 1:4848 THOMPSON PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-6433
Practice Address - Country:US
Practice Address - Phone:970-800-4145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111348363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care