Provider Demographics
NPI:1841378718
Name:BLOMDAHL, JULIE M (RNFA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:BLOMDAHL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 N WHITMAN ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-1547
Mailing Address - Country:US
Mailing Address - Phone:253-759-3065
Mailing Address - Fax:253-759-3075
Practice Address - Street 1:8218 NE 99TH CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-1300
Practice Address - Country:US
Practice Address - Phone:360-892-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00099981163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant