Provider Demographics
NPI:1124416573
Name:MEIER, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MEIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6660 SPRINGFIELD VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-8986
Mailing Address - Country:US
Mailing Address - Phone:336-624-9919
Mailing Address - Fax:
Practice Address - Street 1:6660 SPRINGFIELD VILLAGE LN
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-8986
Practice Address - Country:US
Practice Address - Phone:336-624-9919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC131365163W00000X
TX568182163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse