Provider Demographics
NPI:1003036120
Name:FRASCARELLI, JULIA ELIZABETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:FRASCARELLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JULIA
Other - Middle Name:ELIZABETH
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:15 GARLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824
Mailing Address - Country:US
Mailing Address - Phone:978-256-5703
Mailing Address - Fax:
Practice Address - Street 1:6 PINE AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867
Practice Address - Country:US
Practice Address - Phone:781-942-1675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA142273163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0344371OtherINDEPENDENT MASS HEALTH