Klaker, Julie M.
Klaker, Julie M. is an sole proprietor health care provider with primary practice located at 4740 Flintridge Dr Ste 220I , Colorado Springs CO 80918-4273. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Klaker, Julie M. can be contacted via phone (719) 224-9080.Contact Information
Primary practice address
4740 Flintridge Dr Ste 220I
Colorado Springs CO 80918-4273
Phone: (719) 224-9080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2019012763 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 164999 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5357-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1110 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN.0005357-NP | Colorado |
Profile Details
| NPI number | 1215134705 |
|---|---|
| LBN Legal business name | Klaker, Julie M. |
| Credentials | FNP-C, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Feb 18th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215134705 | NPPES |
| Colorado | MEDICAID | 91158541 | |
| Colorado | MEDICAID | 1821667353 | |
| Colorado | MEDICAID | 1215134705 | |
| Colorado | Other | 840255530065 | |
| Colorado | Other | 1215134705 |
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