Provider Demographics
NPI:1992496285
Name:SCHNUPP, JULIA BAKER (PA)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:BAKER
Last Name:SCHNUPP
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 WAGNER RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6821
Mailing Address - Country:US
Mailing Address - Phone:410-371-0291
Mailing Address - Fax:
Practice Address - Street 1:1025 WAGNER RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6821
Practice Address - Country:US
Practice Address - Phone:410-371-0291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0001792363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant