Healthcare Provider Details

I. General information

NPI: 1518759950
Provider Name (Legal Business Name): JULIE NAVARRO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 GREAT STAR CT
SAINT AUGUSTINE FL
32086-9052
US

IV. Provider business mailing address

61 GREAT STAR CT
SAINT AUGUSTINE FL
32086-9052
US

V. Phone/Fax

Practice location:
  • Phone: 757-749-4622
  • Fax:
Mailing address:
  • Phone: 757-749-4622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN9216185
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: