Provider Demographics
NPI:1104841618
Name:ESPINOSA, JULIO S JR (CRNA)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:S
Last Name:ESPINOSA
Suffix:JR
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:1860 PENNSYLVANIA AVE
Mailing Address - Street 2:STE 145 NORTHBAY NEONATOLOGY ASSOCIATES INC
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-3590
Mailing Address - Country:US
Mailing Address - Phone:888-270-0340
Mailing Address - Fax:888-270-0331
Practice Address - Street 1:300 HOSPITAL DR
Practice Address - Street 2:SUTTER SOLANO MEDICAL CENTER
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2574
Practice Address - Country:US
Practice Address - Phone:707-554-5726
Practice Address - Fax:707-554-5102
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CARN 559664163W00000X
CANA 2547367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered