Provider Demographics
NPI:1194433474
Name:DANDO, JULIA (CRNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:DANDO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-0737
Mailing Address - Country:US
Mailing Address - Phone:724-537-9208
Mailing Address - Fax:724-537-0867
Practice Address - Street 1:10 LIBERTY LN
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-2772
Practice Address - Country:US
Practice Address - Phone:724-537-9208
Practice Address - Fax:724-537-0867
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASPO26506363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily