Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | R061316 | MD |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R061316 | MD |
N | 363LG0600X | Nurse Practitioner - Gerontology | R061316 | MD |
NPI | 1326199142 |
---|---|
Provider Name | Dr. Julie Ann Stanik - Hutt |
First Address | Arnold, MD 21012-2004 |
Second Address | Baltimore, MD 21205-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 04/08/2011 |