Provider Demographics
NPI:1093874240
Name:SAPP, JULIA L (ARNP C)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:L
Last Name:SAPP
Suffix:
Gender:F
Credentials:ARNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4030 CRESCENT PARK DRIVE
Mailing Address - Street 2:BLDG C
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569
Mailing Address - Country:US
Mailing Address - Phone:813-487-1107
Mailing Address - Fax:813-487-1110
Practice Address - Street 1:4030 CRESCENT PARK DRIVE
Practice Address - Street 2:BLDG C
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569
Practice Address - Country:US
Practice Address - Phone:813-487-1107
Practice Address - Fax:813-487-1110
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2739622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily