Provider Demographics
NPI:1841164852
Name:MARIA, JULIE ELLEN (BA, RN)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ELLEN
Last Name:MARIA
Suffix:
Gender:F
Credentials:BA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1800 SOLAR DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-2655
Mailing Address - Country:US
Mailing Address - Phone:805-485-1442
Mailing Address - Fax:805-981-2140
Practice Address - Street 1:1001 KOHALA ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7305
Practice Address - Country:US
Practice Address - Phone:805-983-0277
Practice Address - Fax:805-981-2140
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA675932163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool