Provider Demographics
NPI:1205434909
Name:MARTINI, JULIE BARNES
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:BARNES
Last Name:MARTINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:BARNES
Other - Last Name:CROFTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3677 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-8023
Mailing Address - Country:US
Mailing Address - Phone:435-714-0582
Mailing Address - Fax:
Practice Address - Street 1:485 E 500 S
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-3801
Practice Address - Country:US
Practice Address - Phone:435-714-0582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10806097-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse