Healthcare Provider Details

I. General information

NPI: 1780054007
Provider Name (Legal Business Name): JULIE SPRING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2015
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25150 HANCOCK AVE STE 208
MURRIETA CA
92562-5989
US

IV. Provider business mailing address

1901 SW 29TH TER
CAPE CORAL FL
33914-4066
US

V. Phone/Fax

Practice location:
  • Phone: 951-698-8805
  • Fax:
Mailing address:
  • Phone: 619-952-3510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95000335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: