Healthcare Provider Details

I. General information

NPI: 1396750154
Provider Name (Legal Business Name): JULIE A SCHUETZ CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE A LINDBLAD CRNP

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

PO BOX 62602
BALTIMORE MD
21264-2602
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-3929
  • Fax: 410-328-6896
Mailing address:
  • Phone: 410-328-3929
  • Fax: 410-328-6896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR089938
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: