Provider Demographics
NPI:1518093335
Name:JULITAN-NAVARRO, MARY JOY ACLA
Entity Type:Individual
Prefix:MS
First Name:MARY JOY
Middle Name:ACLA
Last Name:JULITAN-NAVARRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MEGHAN LN
Mailing Address - Street 2:BRENNAN ESTATES
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6375
Mailing Address - Country:US
Mailing Address - Phone:302-832-7070
Mailing Address - Fax:
Practice Address - Street 1:10 LITTLE CIR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-7956
Practice Address - Country:US
Practice Address - Phone:302-376-1792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0024696163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000984438Medicaid