Healthcare Provider Details

I. General information

NPI: 1386149318
Provider Name (Legal Business Name): JULIA MAREE BEACH PAULUS DNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 CHURCHMANS RD STE 101
NEWARK DE
19702-1945
US

IV. Provider business mailing address

143 CANN RD
NEWARK DE
19702-4766
US

V. Phone/Fax

Practice location:
  • Phone: 302-658-2229
  • Fax: 302-658-2382
Mailing address:
  • Phone: 443-605-4962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberLK-0000194
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: