Provider Demographics
NPI:1750798468
Name:LEVENSON-BLEICHER, JULIA BLAIR (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:BLAIR
Last Name:LEVENSON-BLEICHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:LEVENSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:7617 LITTLE RIVER TPKE STE 850
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2618
Mailing Address - Country:US
Mailing Address - Phone:571-665-6620
Mailing Address - Fax:571-665-6621
Practice Address - Street 1:7617 LITTLE RIVER TPKE STE 850
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2618
Practice Address - Country:US
Practice Address - Phone:571-665-6620
Practice Address - Fax:571-665-6621
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily