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NPI Code Detail

MEDICARE: MS. JULIEANN PANKEY M.A

MEDICARE: MS. JULIEANN PANKEY M.A
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1952517625
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIEANN PANKEY M.A
Provider Business Mailing Address
First Line : 12322 ROCKY MOUNTAIN ST
Second Line :
City : RENO
State : NV
Zip : 89506-1552
Country : US
Telephone Number : 775-378-0523
Fax Number :
Provider Business Practice Location Address
First Line : 1101 W MOANA LN STE 14
Second Line :
City : RENO
State : NV
Zip : 89509-4734
Country : US
Telephone Number : 775-337-2394
Fax Number : 775-337-9570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/09/2007

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