Healthcare Provider Details

I. General information

NPI: 1639740525
Provider Name (Legal Business Name): JULIE DEPIERO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6395 INDIA DR
SPRING HILL FL
34608-1231
US

IV. Provider business mailing address

6395 INDIA DR
SPRING HILL FL
34608-1231
US

V. Phone/Fax

Practice location:
  • Phone: 352-293-5659
  • Fax:
Mailing address:
  • Phone: 352-293-5659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9439659
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: