Provider Demographics
NPI:1720277734
Name:KING, JULIE NOELLE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:NOELLE
Last Name:KING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:NOELLE
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:600 NORTH WOLFE ST
Mailing Address - Street 2:HALSTED 600
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-502-1048
Mailing Address - Fax:410-502-1047
Practice Address - Street 1:600 NORTH WOLFE ST
Practice Address - Street 2:WEINBERG 3A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-502-1048
Practice Address - Fax:410-502-1047
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR157291163WC0200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine