Provider Demographics
NPI:1790419232
Name:WERU, JULIA W
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:W
Last Name:WERU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 172ND ST E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-7629
Mailing Address - Country:US
Mailing Address - Phone:253-503-7222
Mailing Address - Fax:
Practice Address - Street 1:2004 172ND ST E
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-7629
Practice Address - Country:US
Practice Address - Phone:253-503-7222
Practice Address - Fax:253-503-7222
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALPN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse