Provider Demographics
NPI:1255424834
Name:SNELL, JULIANNE H (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:H
Last Name:SNELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2075 BARKLEY BLVD
Mailing Address - Street 2:STE. 230
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6614
Mailing Address - Country:US
Mailing Address - Phone:360-671-5700
Mailing Address - Fax:360-671-5225
Practice Address - Street 1:2075 BARKLEY BLVD
Practice Address - Street 2:STE. 230
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6614
Practice Address - Country:US
Practice Address - Phone:360-671-5700
Practice Address - Fax:360-671-5225
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAPN30001659363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9601840Medicaid
WA8856654Medicare PIN
WAS54541Medicare UPIN