Provider Demographics
NPI:1821868381
Name:SRNSKY, JULIA (CNA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SRNSKY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:HUGHS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA
Mailing Address - Street 1:805 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-2590
Mailing Address - Country:US
Mailing Address - Phone:701-301-5790
Mailing Address - Fax:
Practice Address - Street 1:805 2ND ST NW
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-2590
Practice Address - Country:US
Practice Address - Phone:701-301-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND271863747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant