Provider Demographics
NPI:1912981564
Name:ABERT, JULIE CONNORS (NP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CONNORS
Last Name:ABERT
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:280 CHESTNUT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:24 N WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-1606
Practice Address - Country:US
Practice Address - Phone:413-831-7831
Practice Address - Fax:413-831-4783
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA191156363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA500020100OtherRR MEDICARE
MA1912981564Medicare PIN