Healthcare Provider Details

I. General information

NPI: 1699401224
Provider Name (Legal Business Name): JULIE ANNE EDWARDS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ANNE HARLAM NP

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW DIABETES CARE COMPLEX, SUITE #M-1200
WASHINGTON DC
20010
US

IV. Provider business mailing address

111 MICHIGAN AVE NW DIABETES CARE COMPLEX, SUITE #M-1200
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-2121
  • Fax: 202-476-4095
Mailing address:
  • Phone: 202-476-2121
  • Fax: 202-476-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR248507
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202223039
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP1045990
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: