Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 121742 | AZ |
NPI | 1003067836 |
---|---|
Provider Name | Sara Julander |
First Address | Phoenix, AZ 85013-3476 |
Second Address | Phoenix, AZ 85013-3476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2008 |
Last Update Date | 14/05/2013 |