Provider Demographics
NPI:1386835817
Name:BARNETT, JULIA ANN (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 98TH DR NE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-1645
Mailing Address - Country:US
Mailing Address - Phone:206-484-8228
Mailing Address - Fax:
Practice Address - Street 1:16550 177TH AVE SE
Practice Address - Street 2:PO BOX 777
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272
Practice Address - Country:US
Practice Address - Phone:360-784-2829
Practice Address - Fax:360-794-2871
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374691835P1200X
FLME113462207Q00000X
WAML20008866208600000X
AZ45569208D00000X
WAMD60729698207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice