Provider Demographics
NPI:1619429115
Name:CURTIS, JULIANNE
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:CURTIS
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 1:701 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:CRESCENT
Mailing Address - State:PA
Mailing Address - Zip Code:15046-5438
Mailing Address - Country:US
Mailing Address - Phone:412-385-2060
Mailing Address - Fax:
Practice Address - Street 1:701 WALNUT ST
Practice Address - Street 2:
Practice Address - City:CRESCENT
Practice Address - State:PA
Practice Address - Zip Code:15046-5438
Practice Address - Country:US
Practice Address - Phone:412-385-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28803601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103065709-0001OtherPROMISE