| Doctor Name: | JULIE DUTTON |
| NPI Number: | 1013136423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 455229 |
| Business Practice Address: | 132 Carlyn Ave Ste 765 Campbell, CA - 950081916 |
| Business Phone Number: | 4088588937 |
| Business Fax Number: | 4083760324 |
| Mailing Address: | 132 Carlyn Ave, CAMPBELL |
| State: | CA |
| Postal Code: | 950081916 |
| Phone Number: | 4083623695 |
| Fax Number: | 4089726471 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 03/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 455229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |