Provider Demographics
NPI:1568297950
Name:MCORMOND, JULIE ANNE (CD(DONA))
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:MCORMOND
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 HALE RD APT 1A
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-3266
Mailing Address - Country:US
Mailing Address - Phone:315-566-5950
Mailing Address - Fax:
Practice Address - Street 1:60 HALE RD APT 1A
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-3266
Practice Address - Country:US
Practice Address - Phone:315-566-5950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula