Provider Demographics
NPI:1841278363
Name:ZALE, JULIE A (PA-C)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:ZALE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:408 WINTHROP RD STE 2
Mailing Address - Street 2:
Mailing Address - City:READFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04355-3525
Mailing Address - Country:US
Mailing Address - Phone:207-446-4472
Mailing Address - Fax:844-876-3023
Practice Address - Street 1:408 WINTHROP RD STE 2
Practice Address - Street 2:
Practice Address - City:READFIELD
Practice Address - State:ME
Practice Address - Zip Code:04355-3525
Practice Address - Country:US
Practice Address - Phone:207-446-4472
Practice Address - Fax:844-876-3023
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEPA 377363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME285250099Medicaid
MEAP193102Medicare PIN
ME285250099Medicaid