Provider Demographics
NPI:1154148351
Name:SHIRIMA, JULIA (REGISTERD NURSE)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SHIRIMA
Suffix:
Gender:F
Credentials:REGISTERD NURSE
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:L
Other - Last Name:SHIRIMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:603 CROSSOVER CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2248
Mailing Address - Country:US
Mailing Address - Phone:301-305-5731
Mailing Address - Fax:
Practice Address - Street 1:604 SOLAREX CT UNIT 205
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8655
Practice Address - Country:US
Practice Address - Phone:301-305-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR175194163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse