Provider Demographics
NPI:1326711391
Name:SZCZEPANIK, JULIE ANNE (ARNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANNE
Last Name:SZCZEPANIK
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 NE ROMANCE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BELFAIR
Mailing Address - State:WA
Mailing Address - Zip Code:98528-8315
Mailing Address - Country:US
Mailing Address - Phone:360-277-2950
Mailing Address - Fax:360-277-2980
Practice Address - Street 1:21 NE ROMANCE HILL RD
Practice Address - Street 2:
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528-8315
Practice Address - Country:US
Practice Address - Phone:360-277-2950
Practice Address - Fax:360-277-2980
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61166195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2189714Medicaid