Healthcare Provider Details

I. General information

NPI: 1568943397
Provider Name (Legal Business Name): JULIE WASHICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MORGAN COUNTY BOARD OF EDUCATION 247HARRISON AVENUE
BERKELEY SPRINGS WV
25411
US

IV. Provider business mailing address

MORGAN COUNTY BOARD OF EDUCATION 247HARRISON AVENUE
BERKELEY SPRINGS WV
25411
US

V. Phone/Fax

Practice location:
  • Phone: 304-267-3595
  • Fax:
Mailing address:
  • Phone: 304-267-3595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number92744
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: