NPI 1336125103 · live from the CMS NPI Registry
Julie Ansell, MD
Family Medicine in Boulder, CO. National Provider Identifier 1336125103, active.
NPI record
| NPI | 1336125103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1755 48th St Ste 200, Boulder, CO 80301 |
| Practice phone | 303-415-7450 |
| Mailing address | 203 S Rollie Ave, Billing Dept/Credentialist, Fort Lupton, CO 80621 |
| Enumerated | December 22, 2005 |
| Last updated | March 31, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | DR.0042406 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.