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NPI Code Detail

MEDICARE: MARIE GUERDA JULIEN

MEDICARE: MARIE GUERDA JULIEN
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
1163WG0000XGeneral Practice Registered Nurse262562MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S08273379OTHERMADRIVER'S LICENSE

General Provider Information

NPI Number : 1629725874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE GUERDA JULIEN
Provider Business Mailing Address
First Line : 11 DAVIS RD
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-3319
Country : US
Telephone Number : 781-248-4456
Fax Number :
Provider Business Practice Location Address
First Line : 11 DAVIS RD
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-3319
Country : US
Telephone Number : 781-248-4456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2022
Last Update Date : 02/15/2026

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Directions to “ MARIE GUERDA JULIEN ” Practice Location

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