Provider Demographics
NPI:1124150362
Name:VARADY, JULIE (ANP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:VARADY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:ENGELHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8022 FOX HOLLOW
Mailing Address - Street 2:
Mailing Address - City:BARNHART
Mailing Address - State:MO
Mailing Address - Zip Code:63012
Mailing Address - Country:US
Mailing Address - Phone:636-479-9594
Mailing Address - Fax:
Practice Address - Street 1:8022 FOX HOLW
Practice Address - Street 2:
Practice Address - City:BARNHART
Practice Address - State:MO
Practice Address - Zip Code:63012-2724
Practice Address - Country:US
Practice Address - Phone:636-479-9594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO136318363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health