Provider Demographics
NPI:1598289340
Name:COLEMAN, JULIA ANNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANNE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:TRIMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1700 PEACH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-2134
Mailing Address - Country:US
Mailing Address - Phone:814-877-7842
Mailing Address - Fax:814-877-7845
Practice Address - Street 1:1700 PEACH ST STE 220
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2134
Practice Address - Country:US
Practice Address - Phone:814-877-7842
Practice Address - Fax:814-877-7845
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA004222363A00000X
PAMA059177363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant