Healthcare Provider Details

I. General information

NPI: 1780237024
Provider Name (Legal Business Name): JULIA NEVES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 DISCOVERY PL
NAMPA ID
83686-7179
US

IV. Provider business mailing address

6375 E BRIMLEY DR
NAMPA ID
83687-4119
US

V. Phone/Fax

Practice location:
  • Phone: 208-398-3352
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: