Provider Demographics
NPI:1780007054
Name:RAY, JULIE A I (RN00122344)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:RAY
Suffix:I
Gender:F
Credentials:RN00122344
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 E BISMARK AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-3511
Mailing Address - Country:US
Mailing Address - Phone:509-724-3666
Mailing Address - Fax:
Practice Address - Street 1:1114 E BISMARK AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-3511
Practice Address - Country:US
Practice Address - Phone:509-724-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00122344163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse