Provider Demographics
NPI:1154354652
Name:NAYLOR, JULIEN LOUISE (MD)
Entity type:Individual
Prefix:
First Name:JULIEN
Middle Name:LOUISE
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 TONGASS DR
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9416
Mailing Address - Country:US
Mailing Address - Phone:907-966-2411
Mailing Address - Fax:907-966-8342
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-2411
Practice Address - Fax:907-966-8342
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD35652Medicaid
AK8ED778Medicare PIN
AK8ED776Medicare PIN
AK8EZ10EMedicare ID - Type Unspecified
AK8ED779Medicare PIN
AK8ED780Medicare PIN
AK8ED777Medicare PIN
AKMD35652Medicaid