Provider Demographics
NPI:1063936508
Name:LARUE, JULIE LYNN (AGNP-C)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LYNN
Last Name:LARUE
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Gender:F
Credentials:AGNP-C
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Mailing Address - Street 1:409 SOUTH SECOND STREET
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:717-231-8937
Mailing Address - Fax:717-231-8588
Practice Address - Street 1:1533 COMMERCE AVE STE 2
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9128
Practice Address - Country:US
Practice Address - Phone:717-960-8956
Practice Address - Fax:717-218-7557
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2021-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP016524363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner