Provider Demographics
NPI:1275527681
Name:SEXTON, JULIE SEIF (MS, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:SEIF
Last Name:SEXTON
Suffix:
Gender:F
Credentials:MS, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12303 MEADOW DR
Mailing Address - Street 2:SNUG HARBOR
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2537
Mailing Address - Country:US
Mailing Address - Phone:410-641-1934
Mailing Address - Fax:
Practice Address - Street 1:314 FRANKLIN AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1215
Practice Address - Country:US
Practice Address - Phone:410-629-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR095722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK230I646Medicare ID - Type Unspecified
MDQ36013Medicare UPIN