Healthcare Provider Details

I. General information

NPI: 1386579324
Provider Name (Legal Business Name): JULIA C ANTUNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 CAPE CHARLES DR
RALEIGH NC
27617-8305
US

IV. Provider business mailing address

7615 CAPE CHARLES DR
RALEIGH NC
27617-8305
US

V. Phone/Fax

Practice location:
  • Phone: 203-516-1659
  • Fax:
Mailing address:
  • Phone: 203-516-1659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: