Healthcare Provider Details

I. General information

NPI: 1144055955
Provider Name (Legal Business Name): JULIA ELLEN CONDUFF APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S 72ND AVE
YAKIMA WA
98908-1661
US

IV. Provider business mailing address

671 S 83RD AVE UNIT 2
YAKIMA WA
98908
US

V. Phone/Fax

Practice location:
  • Phone: 509-972-1818
  • Fax:
Mailing address:
  • Phone: 406-830-4318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61671915
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberR50759
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: