Provider Demographics
NPI:1285827147
Name:THURNAU, JULIE A (RD)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:THURNAU
Suffix:
Gender:F
Credentials:RD
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 404
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-0404
Mailing Address - Country:US
Mailing Address - Phone:540-421-9802
Mailing Address - Fax:
Practice Address - Street 1:360 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-1823
Practice Address - Country:US
Practice Address - Phone:540-421-9802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA190001299OtherMEDICARE PROVIDER NUMBER