Provider Demographics
NPI:1215761168
Name:STANTON, JULIE ANNE (RN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:STANTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:SIEPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1510 KIMES ST
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-6943
Mailing Address - Country:US
Mailing Address - Phone:801-874-4527
Mailing Address - Fax:
Practice Address - Street 1:1510 KIMES ST
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6943
Practice Address - Country:US
Practice Address - Phone:801-874-4527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID5961463163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health