Provider Demographics
NPI:1265275101
Name:MATTHEWS, JULIA (FNP-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 HARRIS RD # A
Mailing Address - Street 2:
Mailing Address - City:NORMALVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15469-1136
Mailing Address - Country:US
Mailing Address - Phone:724-787-1833
Mailing Address - Fax:
Practice Address - Street 1:306 HARRIS RD # A
Practice Address - Street 2:
Practice Address - City:NORMALVILLE
Practice Address - State:PA
Practice Address - Zip Code:15469-1136
Practice Address - Country:US
Practice Address - Phone:724-787-1833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF06241247207Q00000X
PASP030116363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily