Provider Demographics
NPI:1962681726
Name:PRZYBYSZEWSKI, JULIE L (NP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:L
Last Name:PRZYBYSZEWSKI
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Gender:F
Credentials:NP
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Mailing Address - Street 1:200 MILL ROAD, SUITE 180
Mailing Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:49 STATE ROAD, NAUSET BLDG
Practice Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3322
Practice Address - Country:US
Practice Address - Phone:508-991-2255
Practice Address - Fax:508-999-0387
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2012-01-12
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Provider Licenses
StateLicense IDTaxonomies
MA234454163WP0808X, 363LP0200X
MARN234454363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics