Provider Demographics
NPI:1073370854
Name:STURZEN, JULIE ANN (RD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:STURZEN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 FRENCH ASYLUM RD
Mailing Address - Street 2:
Mailing Address - City:TOWANDA
Mailing Address - State:PA
Mailing Address - Zip Code:18848-7810
Mailing Address - Country:US
Mailing Address - Phone:607-237-3925
Mailing Address - Fax:
Practice Address - Street 1:5930 FRENCH ASYLUM RD
Practice Address - Street 2:
Practice Address - City:TOWANDA
Practice Address - State:PA
Practice Address - Zip Code:18848-7810
Practice Address - Country:US
Practice Address - Phone:607-237-3925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered