Provider Demographics
NPI:1043966468
Name:BARAN, JULIE ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:BARAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 JEFFERSON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-1131
Mailing Address - Country:US
Mailing Address - Phone:845-794-4240
Mailing Address - Fax:845-796-5036
Practice Address - Street 1:26 PATRICIA PL
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-2638
Practice Address - Country:US
Practice Address - Phone:845-794-4240
Practice Address - Fax:845-796-5036
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY516034163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool