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NPI Code Detail

MEDICARE: JULIA SUPARAT

MEDICARE: JULIA SUPARAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1860773MN

General Provider Information

NPI Number : 1144178781
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA SUPARAT
Provider Business Mailing Address
First Line : 3300 OAKDALE AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-2926
Country : US
Telephone Number : 763-520-5200
Fax Number :
Provider Business Practice Location Address
First Line : 3300 OAKDALE AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-2926
Country : US
Telephone Number : 763-520-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ JULIA SUPARAT ” Practice Location

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