Provider Demographics
NPI:1427658301
Name:WHITE, JULIA SOPHIA (CRNA)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:SOPHIA
Last Name:WHITE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:9500 S DADELAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2866
Mailing Address - Country:US
Mailing Address - Phone:786-530-3820
Mailing Address - Fax:305-675-3378
Practice Address - Street 1:501 N 34TH ST STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8856
Practice Address - Country:US
Practice Address - Phone:206-838-1777
Practice Address - Fax:206-838-1771
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2025-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2021044926367500000X
WAAP61563030367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO910104263Medicaid