Provider Demographics
NPI:1265814453
Name:BEBAWY, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BEBAWY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:BEBAWY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-PEDIATRIC
Mailing Address - Street 1:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:36089-0312
Mailing Address - Country:US
Mailing Address - Phone:334-738-7337
Mailing Address - Fax:
Practice Address - Street 1:111 SCOUTING CIR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-2540
Practice Address - Country:US
Practice Address - Phone:334-770-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-078662163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics