Provider Demographics
NPI:1588915557
Name:DOWNEY, JULIAN NATALIE (LPN)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:NATALIE
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 MAPLEWOOD AVE
Mailing Address - Street 2:2FL
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-1304
Mailing Address - Country:US
Mailing Address - Phone:203-360-3880
Mailing Address - Fax:
Practice Address - Street 1:272 MAPLEWOOD AVE
Practice Address - Street 2:2FL
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-1304
Practice Address - Country:US
Practice Address - Phone:203-360-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-30
Last Update Date:2012-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311807164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse