Provider Demographics
NPI:1699191106
Name:NORMAND, JULIE PERRY (RPA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:PERRY
Last Name:NORMAND
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 CHEROKEE LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2708
Mailing Address - Country:US
Mailing Address - Phone:318-308-7671
Mailing Address - Fax:
Practice Address - Street 1:5915 CHEROKEE LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-2708
Practice Address - Country:US
Practice Address - Phone:318-308-7671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011352243U00000X
LA2960247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist