Provider Demographics
NPI:1427532142
Name:ARROYO, JULIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2956 SYLVIA DR
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-2990
Mailing Address - Country:US
Mailing Address - Phone:850-209-8942
Mailing Address - Fax:
Practice Address - Street 1:4684 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-3503
Practice Address - Country:US
Practice Address - Phone:850-526-3784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9366349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily