Sprague-Mcrae, Julie Marie
Sprague-Mcrae, Julie Marie is an individual health care provider with primary practice located at 39400 Paseo Padre Pkwy , Fremont CA 94538-2310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Sprague-Mcrae, Julie Marie can be contacted via phone (510) 248-3572.Contact Information
Primary practice address
39400 Paseo Padre Pkwy
Fremont CA 94538-2310
Phone: (510) 248-3572
Fax: (510) 248-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 304979 | California |
Profile Details
| NPI number | 1528132099 |
|---|---|
| LBN Legal business name | Sprague-Mcrae, Julie Marie |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528132099 | NPPES |
| California | MEDICAID | RN304979 |
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