Provider Demographics
NPI:1205542602
Name:MARYNIUK, JULIANNA GOLDEN (RN)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:GOLDEN
Last Name:MARYNIUK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:GOLDEN
Other - Last Name:HEYWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1118 N 33RD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7738
Mailing Address - Country:US
Mailing Address - Phone:713-702-9446
Mailing Address - Fax:
Practice Address - Street 1:1118 N 33RD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7738
Practice Address - Country:US
Practice Address - Phone:713-702-9446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001295461163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse