Healthcare Provider Details

I. General information

NPI: 1649230533
Provider Name (Legal Business Name): JULIE ANNE LUNDBLAD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ANNE WILT

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 MARKET ST
CAMP HILL PA
17011-4325
US

IV. Provider business mailing address

409 S 2ND ST SUITE 2F
HARRISBURG PA
17104-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-909-4670
  • Fax: 717-909-4675
Mailing address:
  • Phone: 717-909-4670
  • Fax: 779-909-4675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP007595
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP007595
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: