Provider Demographics
NPI:1043455405
Name:FIELD, JULIA HINDE (PHN)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:HINDE
Last Name:FIELD
Suffix:
Gender:F
Credentials:PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 LIBERTY ST
Mailing Address - Street 2:SUITE 2120
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-1100
Mailing Address - Country:US
Mailing Address - Phone:315-536-5160
Mailing Address - Fax:315-536-5146
Practice Address - Street 1:417 LIBERTY ST
Practice Address - Street 2:SUITE 2120
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-1100
Practice Address - Country:US
Practice Address - Phone:315-536-5160
Practice Address - Fax:315-536-5146
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY479619-1163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health