Provider Demographics
NPI:1841019478
Name:JULES, MARIE D (RN)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:D
Last Name:JULES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W MAIN ST APT B1
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4535
Mailing Address - Country:US
Mailing Address - Phone:203-807-7368
Mailing Address - Fax:
Practice Address - Street 1:21 W MAIN ST APT B1
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4535
Practice Address - Country:US
Practice Address - Phone:203-807-7368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT193196163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse