National Provider Identifier
Julie Renee Brundage, LPN
Julie Renee Brundage, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 521-0360.
Profile Overview
- NPI
- 1144806480
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 18, 2021
- Last Updated
- March 18, 2021
Practice Location
- 184 Marbletown RD Apt C
- Newark, NY 14513-9018
Phone: (315) 521-0360
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1144806480
- Entity Type
- Individual
- Last Name
- Brundage
- First Name
- Julie
- Middle Name
- Renee
- Credential
- LPN
- Mailing Street Address
- 184 Marbletown RD Apt C
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9018
- Mailing Country
- US
- Mailing Phone
- (315) 521-0360
- Practice Street Address
- 184 Marbletown RD Apt C
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-9018
- Practice Country
- US
- Practice Phone
- (315) 521-0360
- Enumeration Date
- March 18, 2021
- Last Updated
- March 18, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 18, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)