Provider Demographics
NPI:1598989493
Name:CUZNER, JULIA R (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:R
Last Name:CUZNER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:81 HIGHLAND AVE
Mailing Address - Street 2:NORTH SHORE MEDICAL CENTER PREOPERATIVE TESTING CENTER
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-5309
Mailing Address - Country:US
Mailing Address - Phone:978-741-1200
Mailing Address - Fax:
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:NORTH SHORE MEDICAL CENTER PREOPERATIVE TESTING CENTER
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:978-741-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA223339363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0326330Medicaid
MA8302371OtherEVER CARE
MANP 4350OtherBLUE CARE
MANP4350OtherBLUE CARE ELECT
MANP4350OtherBLUE CROSS BLUE SHIELD
MA003176OtherSENIOR WHOLE HEALTH
MA21246428192OtherBEECH ST
MANP4350OtherHMO BLUE
MA91325Other91325
MA8302371OtherEVER CARE
MA0326330Medicaid