Provider Demographics
NPI:1174667562
Name:BATEMAN, JULIE A (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:BATEMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:GILIOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:438 GANTTOWN RD STE B8-B9
Mailing Address - Street 2:GANTTOWN PROFESSIONAL PLAZA
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2341
Mailing Address - Country:US
Mailing Address - Phone:856-589-6034
Mailing Address - Fax:856-589-6036
Practice Address - Street 1:438 GANTTOWN RD STE B8-B9
Practice Address - Street 2:GANTTOWN PROFESSIONAL PLAZA
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2341
Practice Address - Country:US
Practice Address - Phone:856-589-6034
Practice Address - Fax:856-589-6036
Is Sole Proprietor?:No
Enumeration Date:2007-02-18
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00011500363LF0000X
NJ26NR10072200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0189189Medicaid
NJ146839WCSMedicare PIN