Provider Demographics
NPI:1013048594
Name:AUGUST, JULIE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:AUGUST
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11151 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85367-8929
Mailing Address - Country:US
Mailing Address - Phone:928-342-5011
Mailing Address - Fax:
Practice Address - Street 1:2353 S OTONDO DR
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-9047
Practice Address - Country:US
Practice Address - Phone:928-341-1600
Practice Address - Fax:928-341-1700
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 054645163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool