Provider Demographics
NPI:1790541050
Name:JULIA FRANKEL PMHNP PLLC
Entity Type:Organization
Organization Name:JULIA FRANKEL PMHNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-779-0377
Mailing Address - Street 1:166 VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-9129
Mailing Address - Country:US
Mailing Address - Phone:802-779-0377
Mailing Address - Fax:
Practice Address - Street 1:1 SCALE AVE STE 116
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4460
Practice Address - Country:US
Practice Address - Phone:802-779-0377
Practice Address - Fax:860-382-4567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT6715386Medicaid