Provider Demographics
NPI:1114464146
Name:BLUESTONE, JULIA (CNM)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BLUESTONE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:DAWN
Other - Last Name:BLUESTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 MURRAY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1025
Mailing Address - Country:US
Mailing Address - Phone:443-224-3782
Mailing Address - Fax:
Practice Address - Street 1:330 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-3610
Practice Address - Country:US
Practice Address - Phone:410-576-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-29
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR124999367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife