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Julie D Carlisle, PNP

Nurse Practitioner, Pediatrics in Galveston, TX. Individual provider (NPI-1).

NPI number1942405220
StatusActive
Last updated in NPPESAug 27, 2016

Details

NPI
1942405220
Entity type
Individual (NPI-1)
Name
Julie D Carlisle
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2007
Last updated
Aug 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics581773TXYes

Practice location

301 University Blvd
Pediatrics
Galveston, TX 77555-5302

Phone 409-772-3350

Mailing address

301 University Blvd
Pediatrics
Galveston, TX 77555-5302

Phone 409-772-3350

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