Provider Demographics
NPI:1467423137
Name:POYSER, JULIAN DENISE (MS, CRNP)
Entity Type:Individual
Prefix:MS
First Name:JULIAN
Middle Name:DENISE
Last Name:POYSER
Suffix:
Gender:F
Credentials:MS, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 WESTBARD AVE
Mailing Address - Street 2:APT. 908
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1424
Mailing Address - Country:US
Mailing Address - Phone:301-312-8723
Mailing Address - Fax:
Practice Address - Street 1:1025 MIDDLETON RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2263
Practice Address - Country:US
Practice Address - Phone:410-262-5779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR149723363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily