NPI Code Details Logo

NPI 1689545667

NPI 1689545667 : JULIE STEACY RN : NORWICH, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689545667
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JULIE STEACY RN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/15/2025
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    55 CALVARY DR 
-----------------------------------------------------
    City                 |    NORWICH
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13815-1032
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    607-336-6362
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    55 CALVARY DR 
-----------------------------------------------------
    City                 |    NORWICH
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13815-1032
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    607-336-6362
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WG0000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Registered Nurse
-----------------------------------------------------
    License Number       |    778407
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    F358015
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.