MEDICARE: JULIA STROUD NP

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
1	363LF0000X	Family Nurse Practitioner	340608	NY

General Provider Information

NPI Number	:	1871946350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA STROUD NP

Provider Business Mailing Address
First Line	:	755 JEFFERSON RD
Second Line	:	STE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3233
Country	:	US
Telephone Number	:	585-419-7948
Fax Number	:	585-385-6071

Provider Business Practice Location Address
First Line	:	755 JEFFERSON RD
Second Line	:	STE 110
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3233
Country	:	US
Telephone Number	:	585-419-7948
Fax Number	:	585-385-6071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2016
Last Update Date	:	03/06/2018

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