Provider Demographics
NPI:1073875886
Name:BAHN, JULIA L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:L
Last Name:BAHN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 EAST MARSHALL STREET
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-436-8611
Mailing Address - Fax:
Practice Address - Street 1:440 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5414
Practice Address - Country:US
Practice Address - Phone:610-436-8611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012076363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD065235LOtherLICENSE NUMBER
PAMD066329LOtherLICENSE NUMBER
PAMD028718EOtherLICENSE NUMBER
PAMD042214LOtherLICENSE NUMBER
PAOSOO3045LOtherLICENSE NUMBER