Doctor Name: | MS. JULIE ANN BERTHY |
NPI Number: | 1003847831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1737822 |
Business Practice Address: | 1600 Sw Archer Rd Gainesville, FL - 326103003 |
Business Phone Number: | 3528461532 |
Business Fax Number: | 3523920547 |
Mailing Address: | Po Box 918025, ORLANDO |
State: | FL |
Postal Code: | 328918025 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | ARNP1737822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |