Bainbridge, Julie Ann

Bainbridge, Julie Ann is an sole proprietor health care provider with primary practice located at 12619 S Kosh St , Phoenix AZ 85044-3340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bainbridge, Julie Ann can be contacted via phone (480) 652-2069.

Contact Information

Primary practice address
12619 S Kosh St Phoenix AZ 85044-3340
Phone: (480) 652-2069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11025843 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 281630 Arizona

Profile Details

NPI number 1073237210
LBN Legal business name Bainbridge, Julie Ann
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2022
Last updated Jul 18th, 2024 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073237210 NPPES
Arizona Other 281630 ARIZONA STATE BOARD OF NURSING
Arizona Other 11025843 ARIZONA STATE BOARD OF NURSING

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