Healthcare Provider Details

I. General information

NPI: 1902700941
Provider Name (Legal Business Name): JULIA E NUVAL RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 S CANAL ST
GREENE NY
13778-1236
US

IV. Provider business mailing address

40 S CANAL ST
GREENE NY
13778-1236
US

V. Phone/Fax

Practice location:
  • Phone: 607-656-4161
  • Fax: 607-656-9362
Mailing address:
  • Phone: 607-656-4161
  • Fax: 607-656-9362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SS0200X
TaxonomySchool Clinical Nurse Specialist
License Number775005
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: