Provider Demographics
NPI:1245353135
Name:CRITES, JULIE BROOKS (NP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:BROOKS
Last Name:CRITES
Suffix:
Gender:F
Credentials:NP
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 715
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-0715
Mailing Address - Country:US
Mailing Address - Phone:770-596-9050
Mailing Address - Fax:
Practice Address - Street 1:201 THIRD AVE
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664-4315
Practice Address - Country:US
Practice Address - Phone:907-224-4924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK978363LF0000X
GARN160548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily