Provider Demographics
NPI:1760887954
Name:NAGELL, JULIA (BA BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:NAGELL
Suffix:
Gender:F
Credentials:BA BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-5647
Mailing Address - Country:US
Mailing Address - Phone:941-486-0950
Mailing Address - Fax:941-480-0298
Practice Address - Street 1:400 TAMIAMI TRL S
Practice Address - Street 2:STE. 260 B
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2614
Practice Address - Country:US
Practice Address - Phone:941-486-0950
Practice Address - Fax:941-480-0298
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3785237700000X
OH2858237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist