Provider Demographics
NPI:1952601536
Name:ALBERT, JULIE S (WHNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:S
Last Name:ALBERT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:S
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:819 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-2334
Mailing Address - Country:US
Mailing Address - Phone:585-235-4860
Mailing Address - Fax:585-464-9047
Practice Address - Street 1:819 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-2334
Practice Address - Country:US
Practice Address - Phone:585-235-4860
Practice Address - Fax:585-464-9047
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421058363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01518726OtherMEDICARE RR
NY03386023Medicaid
NYJ400057857/GRP70008AMedicare PIN
NYJ400057856/GRPBA0017Medicare PIN