Healthcare Provider Details

I. General information

NPI: 1851845549
Provider Name (Legal Business Name): JULIE HUTSELL-STARLING L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 08/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8356 SIX FORKS RD STE 104
RALEIGH NC
27615-5094
US

IV. Provider business mailing address

12420 TETONS CT
DURHAM NC
27703-8905
US

V. Phone/Fax

Practice location:
  • Phone: 919-815-9366
  • Fax:
Mailing address:
  • Phone: 919-815-9366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number420
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: