Provider Demographics
NPI:1245831148
Name:PALMIERI, JULIA MARIE (FNP-C, APRN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:PALMIERI
Suffix:
Gender:F
Credentials:FNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3713 W CHRISTY HILL WAY
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-8304
Mailing Address - Country:US
Mailing Address - Phone:385-212-5670
Mailing Address - Fax:
Practice Address - Street 1:65 E 6850 S
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-1215
Practice Address - Country:US
Practice Address - Phone:801-568-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT351129-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT351129-4405OtherDOPL STATE OF UTAH