Provider Demographics
NPI:1336457423
Name:DELCOUR, JULIA ANNE CORREIA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANNE CORREIA
Last Name:DELCOUR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:CORREIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2151 LINGLESTOWN RD STE 160A
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9453
Mailing Address - Country:US
Mailing Address - Phone:717-541-8066
Mailing Address - Fax:
Practice Address - Street 1:2151 LINGLESTOWN RD STE 160A
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9453
Practice Address - Country:US
Practice Address - Phone:717-541-8066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN.19660363LF0000X
WAAP60186771363LF0000X
PASP020548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily