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NPI Code Detail

MEDICARE: JULIANA THURSTON DURRETT

MEDICARE:   JULIANA THURSTON DURRETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse0001270687VA

General Provider Information

NPI Number : 1336083534
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANA THURSTON DURRETT
Provider Business Mailing Address
First Line : 11646 TIMBERLY WAYE
Second Line :
City : HENRICO
State : VA
Zip : 23238-3484
Country : US
Telephone Number : 804-483-2530
Fax Number :
Provider Business Practice Location Address
First Line : 7101 JAHNKE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4017
Country : US
Telephone Number : 804-483-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ JULIANA THURSTON DURRETT ” Practice Location

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