Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11006269 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 11006269 | FL |
NPI | 1003430836 |
---|---|
Provider Name | Miss Julie Ann Stronski |
First Address | Pensacola, FL 32524-1037 |
Second Address | Pensacola, FL 32504-7152 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2020 |
Last Update Date | 06/01/2022 |