Provider Demographics
NPI:1215949052
Name:NORLEY, JULIE A (DO)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:NORLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 N SCOTTSDALE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7076
Mailing Address - Country:US
Mailing Address - Phone:602-224-9218
Mailing Address - Fax:602-224-0078
Practice Address - Street 1:5111 N SCOTTSDALE RD STE 108
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7076
Practice Address - Country:US
Practice Address - Phone:602-224-9218
Practice Address - Fax:602-224-0078
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2020-08-17
Deactivation Date:2017-11-17
Deactivation Code:
Reactivation Date:2017-12-06
Provider Licenses
StateLicense IDTaxonomies
AZ4398207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ174206Medicaid
AZZ111258Medicare PIN
AZZ155857Medicare PIN
AZ111258Medicare PIN