Provider Demographics
NPI:1013510262
Name:SAILOR, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SAILOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 482
Mailing Address - Street 2:
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-0482
Mailing Address - Country:US
Mailing Address - Phone:701-351-1060
Mailing Address - Fax:
Practice Address - Street 1:8044 HWY 20
Practice Address - Street 2:
Practice Address - City:ST. MICHAEL
Practice Address - State:ND
Practice Address - Zip Code:58370
Practice Address - Country:US
Practice Address - Phone:701-351-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant