Provider Demographics
NPI:1689365678
Name:SIMONI, JULIE ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:SIMONI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 TWO MILE RD
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:PA
Mailing Address - Zip Code:16841-4054
Mailing Address - Country:US
Mailing Address - Phone:814-441-8012
Mailing Address - Fax:
Practice Address - Street 1:323 TWO MILE RD
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:PA
Practice Address - Zip Code:16841-4054
Practice Address - Country:US
Practice Address - Phone:814-441-8012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN577969163W00000X
PASP027770363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse