Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | APN.0995585-NP | CO |
NPI | 1437762481 |
---|---|
Provider Name | Julia Catherine Wells |
First Address | Fort Collins, CO 80525-3596 |
Second Address | Estes Park, CO 80517-9227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2020 |
Last Update Date | 28/08/2020 |