Healthcare Provider Details

I. General information

NPI: 1699040329
Provider Name (Legal Business Name): JULIE B SANDERS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 762
WEDOWEE AL
36278-0762
US

IV. Provider business mailing address

PO BOX 762
WEDOWEE AL
36278-0762
US

V. Phone/Fax

Practice location:
  • Phone: 256-453-4191
  • Fax:
Mailing address:
  • Phone: 256-453-4191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-120709
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: