Provider Demographics
NPI:1225353451
Name:NEAS, JULLETA FERNANDA (BA, MBA)
Entity Type:Individual
Prefix:MS
First Name:JULLETA
Middle Name:FERNANDA
Last Name:NEAS
Suffix:
Gender:F
Credentials:BA, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MENAUL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107
Mailing Address - Country:US
Mailing Address - Phone:505-255-5501
Mailing Address - Fax:505-255-9951
Practice Address - Street 1:1111 MENAUL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107
Practice Address - Country:US
Practice Address - Phone:505-255-5501
Practice Address - Fax:505-255-9951
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker