Provider Demographics
NPI:1750036653
Name:BLANCO, JULIA MARIE APPLE (RN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE APPLE
Last Name:BLANCO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 N HIGHLAND AVE NE UNIT 4040
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-5643
Mailing Address - Country:US
Mailing Address - Phone:610-755-8344
Mailing Address - Fax:
Practice Address - Street 1:299 N HIGHLAND AVE NE UNIT 4040
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-5643
Practice Address - Country:US
Practice Address - Phone:610-755-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN242363163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse