Provider Demographics
NPI:1316662430
Name:GRATON, JULIANNA SUMMERS (RN)
Entity type:Individual
Prefix:MISS
First Name:JULIANNA
Middle Name:SUMMERS
Last Name:GRATON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 RAMONA AVE APT A
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-1992
Mailing Address - Country:US
Mailing Address - Phone:805-714-2298
Mailing Address - Fax:
Practice Address - Street 1:805 4TH ST
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-9343
Practice Address - Country:US
Practice Address - Phone:805-714-2298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95224596163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty