Provider Demographics
NPI:1245230614
Name:COHEN, JULIE ANN (PA-C)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:COHEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 S POPLAR ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1360
Mailing Address - Country:US
Mailing Address - Phone:303-226-0013
Mailing Address - Fax:303-757-6418
Practice Address - Street 1:3540 S POPLAR ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1362
Practice Address - Country:US
Practice Address - Phone:303-226-0013
Practice Address - Fax:303-757-6418
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1041363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45138516Medicaid
COP46571Medicare UPIN
449888Medicare ID - Type Unspecified