Healthcare Provider Details

I. General information

NPI: 1477691459
Provider Name (Legal Business Name): JULIE DANIELLE GARZ CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE DANIELLE SHERWOOD CNM

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 TALLMAN AVE NW STE 420
SEATTLE WA
98107-5902
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 208-781-6080
  • Fax: 206-781-6285
Mailing address:
  • Phone: 206-320-4476
  • Fax: 206-568-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60938210
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60963528
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: