Provider Demographics
NPI:1801334230
Name:GREENWOOD, JULIA H (NP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:H
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:QUALITY MANAGEMENT
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1820 41ST AVE
Practice Address - Street 2:SUITE D
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-2516
Practice Address - Country:US
Practice Address - Phone:831-476-3000
Practice Address - Fax:831-476-9009
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95005909363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics