Healthcare Provider Details

I. General information

NPI: 1134887292
Provider Name (Legal Business Name): JULIANNE INTERVAL BSN, RN, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANNE BROWN CRNA

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 DUTCH RIDGE RD
BEAVER PA
15009-9727
US

IV. Provider business mailing address

3107 TULANE WAY
BRIDGEVILLE PA
15017-4215
US

V. Phone/Fax

Practice location:
  • Phone: 877-771-4847
  • Fax:
Mailing address:
  • Phone: 412-680-6023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN659420
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: