# JULIE REBACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508309774
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 9652 | CT | — |
| 363L00000X | Nurse Practitioner | APRN.CNP.019912 | OH | — |
| 363L00000X | Nurse Practitioner | R231763 | MD | — |
| 363LP2300X | Primary Care Nurse Practitioner | F311794 | NY | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 07/11/2024