Provider Demographics
NPI:1205645298
Name:VANG, JULIANA P (MS)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:P
Last Name:VANG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 EAST BLF
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-2371
Mailing Address - Country:US
Mailing Address - Phone:608-234-2956
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE # 2464
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-282-8368
Practice Address - Fax:608-662-4448
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS