Doctor Name: | MISS JULIA ANN ROOT |
NPI Number: | 1295845683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 169730 |
Business Practice Address: | 421 N Main St Leeds, MA - 010539764 |
Business Phone Number: | 4135844040 |
Business Fax Number: | |
Mailing Address: | 21 Crosby St, NORTHAMPTON |
State: | MA |
Postal Code: | 010601853 |
Phone Number: | 4135854040 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 169730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |