Zavala, Julie M

Zavala, Julie M is an individual health care provider with primary practice located at 9197 Grant St Suite 100, Thornton CO 80229-4361. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Zavala, Julie M can be contacted via phone (303) 869-2173.

Contact Information

Primary practice address
9197 Grant St Suite 100 Thornton CO 80229-4361
Phone: (303) 869-2173
Fax: (303) 962-1515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 123035 Colorado

Profile Details

NPI number 1952552408
LBN Legal business name Zavala, Julie M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2008
Last updated Oct 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952552408 NPPES
Colorado Other 123035 STATE LICENSE
Colorado MEDICAID 13202847 STATE LICENSE

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