Provider Demographics
NPI:1366843120
Name:WETMORE, JULIA P (CPNP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:P
Last Name:WETMORE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4360 COUNTY HOME ROAD
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613
Mailing Address - Country:US
Mailing Address - Phone:828-465-7668
Mailing Address - Fax:828-256-7711
Practice Address - Street 1:4360 COUNTY HOME ROAD
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613
Practice Address - Country:US
Practice Address - Phone:828-465-7668
Practice Address - Fax:828-256-7711
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95986363L00000X
NC5007070363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner