Provider Demographics
NPI:1275829624
Name:NEAL, JULIEANNE (ND)
Entity Type:Individual
Prefix:
First Name:JULIEANNE
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 MARIPOSA AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-7935
Mailing Address - Country:US
Mailing Address - Phone:720-841-7793
Mailing Address - Fax:
Practice Address - Street 1:2042 MARIPOSA AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-7935
Practice Address - Country:US
Practice Address - Phone:720-841-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60183777175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath