Provider Demographics
NPI:1831179811
Name:COX, JULIE A (CNM)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:COX
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:KEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 MEDICAL CENTER DR STE 2700
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2669
Mailing Address - Country:US
Mailing Address - Phone:207-721-8700
Mailing Address - Fax:207-536-6719
Practice Address - Street 1:121 MEDICAL CENTER DR STE 2700
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2669
Practice Address - Country:US
Practice Address - Phone:207-721-8700
Practice Address - Fax:207-536-6719
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNM82021367A00000X
MEAM082021367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME010211494Medicaid
ME1831179811Medicaid
MEQ00964Medicare UPIN
MEME025505Medicare PIN
MEME0225Medicare ID - Type Unspecified
ME1831179811Medicaid