Provider Demographics
NPI:1902569304
Name:POLZIEN, JULIA KAY (NP-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KAY
Last Name:POLZIEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:KAY
Other - Last Name:MCLAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:167 SPANISH MOSS PL
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2635
Mailing Address - Country:US
Mailing Address - Phone:949-235-0514
Mailing Address - Fax:
Practice Address - Street 1:1600 N ROSE AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3722
Practice Address - Country:US
Practice Address - Phone:805-988-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95169707363L00000X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WE0003XNursing Service ProvidersRegistered NurseEmergency