Provider Demographics
NPI:1417358946
Name:ENDRES-SPRAY, JULIA (RN PHN MA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ENDRES-SPRAY
Suffix:
Gender:F
Credentials:RN PHN MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SUMMER ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2648
Mailing Address - Country:US
Mailing Address - Phone:612-661-7462
Mailing Address - Fax:
Practice Address - Street 1:2000 SUMMER ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2648
Practice Address - Country:US
Practice Address - Phone:612-661-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-111008-3163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health