| Doctor Name: | MS. JULIE ANN FOURNIER |
| NPI Number: | 1053625798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | CNP-01647 |
| Business Practice Address: | 255 Sw 8th Ave Surface Creek Family Practice Cedaredge, CO - 81413 |
| Business Phone Number: | 9708563146 |
| Business Fax Number: | 9708564385 |
| Mailing Address: | 1001 W Broadway, Suite D FARMINGTON |
| State: | NM |
| Postal Code: | 874015638 |
| Phone Number: | 5053259113 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2010 |
| NPI Last Update Date: | 02/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP-01647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |