Phaneuf, Julie

Phaneuf, Julie is an individual health care provider with primary practice located at 35 Congress St , Salem MA 01970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Phaneuf, Julie can be contacted via phone (978) 825-7124.

Contact Information

Primary practice address
35 Congress St Salem MA 01970
Phone: (978) 825-7124
Fax: (978) 741-3890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 181200 Massachusetts

Profile Details

NPI number 1316991623
LBN Legal business name Phaneuf, Julie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 29th, 2013 - about 12 years 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 1316991623 NPPES
Massachusetts MEDICAID 0706744

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