Healthcare Provider Details

I. General information

NPI: 1912146465
Provider Name (Legal Business Name): JULIA ELIZABETH MCSWEENEY CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA ELIZABETH HARRIS CPNP

II. Dates (important events)

Enumeration Date: 02/06/2009
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON BADER 613
BOSTON MA
02115-5724
US

IV. Provider business mailing address

300 LONGWOOD AVENUE BADER 613 CHILDREN'S HOSPITAL BOSTON
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-7866
  • Fax: 617-713-3808
Mailing address:
  • Phone: 617-355-7866
  • Fax: 617-713-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number269639
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN269639
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: