Provider Demographics
NPI:1053511576
Name:FRIEND, JULIA C (PA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:C
Last Name:FRIEND
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NCI NATIONAL INSTITUTES OF HEALTH 10 CENTER DR
Mailing Address - Street 2:BLDG 10/CRC 2W-5760
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-451-8124
Mailing Address - Fax:301-435-9262
Practice Address - Street 1:NCI NATIONAL INSTITUTES OF HEALTH 10 CENTER DR
Practice Address - Street 2:BLDG 10/CRC 2W-5760
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-451-8124
Practice Address - Fax:301-435-9262
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0002216363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant