Provider Demographics
NPI:1922696541
Name:BRZOZOWSKI, JULIEANA (CRNP, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:JULIEANA
Middle Name:
Last Name:BRZOZOWSKI
Suffix:
Gender:F
Credentials:CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21141 STATE HIGHWAY 59 STE 1
Mailing Address - Street 2:
Mailing Address - City:ROBERTSDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36567-6751
Mailing Address - Country:US
Mailing Address - Phone:251-424-1160
Mailing Address - Fax:251-424-1161
Practice Address - Street 1:21141 US AL-59
Practice Address - Street 2:SUITE 1
Practice Address - City:ROBERTSDALE
Practice Address - State:AL
Practice Address - Zip Code:36567-8797
Practice Address - Country:US
Practice Address - Phone:251-424-1160
Practice Address - Fax:251-424-1161
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-157719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty