Provider Demographics
NPI:1144835638
Name:MICHELSON, JULIE BORINSKY (NBC-HWC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:BORINSKY
Last Name:MICHELSON
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 FREEDOM RANCH PL
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-3049
Mailing Address - Country:US
Mailing Address - Phone:303-775-3649
Mailing Address - Fax:
Practice Address - Street 1:3900 FREEDOM RANCH PL
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-3049
Practice Address - Country:US
Practice Address - Phone:303-775-3649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator