Provider Demographics
NPI:1295486959
Name:JULIANO, ABBEY ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:ELIZABETH
Last Name:JULIANO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:ELIZABETH
Other - Last Name:BUTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1718 D ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6610
Mailing Address - Country:US
Mailing Address - Phone:615-454-8302
Mailing Address - Fax:
Practice Address - Street 1:2021 K ST NW STE 512
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-293-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA200001850363A00000X
VA0110-008283363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant