Individual
JULIE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
606 LAKEVIEW ST, MARY ESTHER, FL 32569-2761
(850) 218-8510
Mailing address
606 LAKEVIEW ST, MARY ESTHER, FL 32569-2761
(850) 218-8510
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
202206153RN
OR
163WE0003X
Emergency Registered Nurse
215661
AK
163WE0003X
Emergency Registered Nurse
Primary
9280243
FL
163WE0003X
Emergency Registered Nurse
95309053
CA
163WE0003X
Emergency Registered Nurse
RN-115840-0
HI
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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