Provider Demographics
NPI:1457086340
Name:DANCYGER, JULIA SARAH (NP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:SARAH
Last Name:DANCYGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 MATILIJA AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-4318
Mailing Address - Country:US
Mailing Address - Phone:818-749-7089
Mailing Address - Fax:
Practice Address - Street 1:4228 MATILIJA AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-4318
Practice Address - Country:US
Practice Address - Phone:818-749-7089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021724363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care