Provider Demographics
NPI:1760600084
Name:SIEFERT, JULIE T (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:T
Last Name:SIEFERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:331 LAZYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2418
Mailing Address - Country:US
Mailing Address - Phone:410-729-4322
Mailing Address - Fax:410-956-1757
Practice Address - Street 1:201 CENTRAL AVE E
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2802
Practice Address - Country:US
Practice Address - Phone:410-956-5600
Practice Address - Fax:410-956-1757
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR138166163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool