Provider Demographics
NPI:1811529217
Name:DONATELLI, JULIA MARIA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:MARIA
Last Name:DONATELLI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:640 KOLTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3570
Mailing Address - Country:US
Mailing Address - Phone:724-357-7333
Mailing Address - Fax:724-357-7279
Practice Address - Street 1:1265 WAYNE AVE STE 306
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3501
Practice Address - Country:US
Practice Address - Phone:724-463-9701
Practice Address - Fax:724-463-9701
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2023-11-05
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Provider Licenses
StateLicense IDTaxonomies
PAMA061073363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant