Provider Demographics
NPI:1952345779
Name:NATANZON, JULIE (CRNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:NATANZON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:MAGALNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 258
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8004
Mailing Address - Country:US
Mailing Address - Phone:215-938-9604
Mailing Address - Fax:267-728-2137
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 258
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:215-938-9604
Practice Address - Fax:267-728-2137
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily