Doctor Name: | JULIA MCDOUGAL RONCONI |
NPI Number: | 1003886599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3336954405 |
Business Practice Address: | 329 Conway St Greenfield Health Center Greenfield, MA - 013011521 |
Business Phone Number: | 4137746301 |
Business Fax Number: | 4137723314 |
Mailing Address: | 329 Conway St, Greenfield Health Center GREENFIELD |
State: | MA |
Postal Code: | 013011521 |
Phone Number: | 4137746301 |
Fax Number: | 4137723314 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 3336954405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |