Provider Demographics
NPI:1669259677
Name:WHITFIELD, JULIE ANNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANNE
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:PITTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:49640 VINNARD DR
Mailing Address - Street 2:
Mailing Address - City:COARSEGOLD
Mailing Address - State:CA
Mailing Address - Zip Code:93614-9772
Mailing Address - Country:US
Mailing Address - Phone:559-681-7168
Mailing Address - Fax:
Practice Address - Street 1:14191 ROAD 28
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-5714
Practice Address - Country:US
Practice Address - Phone:559-675-7951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025248208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice