Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | APN.0992140-NP | CO |
NPI | 1013146109 |
---|---|
Provider Name | Julie Anna Knutson |
First Address | Boulder, CO 80302-7414 |
Second Address | Providence, RI 02905-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 17/03/2020 |