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Individual

JULIANNE INTERVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, CRNA

Contact information

Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(877) 771-4847
Mailing address
3107 TULANE WAY, BRIDGEVILLE, PA 15017-4215
(412) 680-6023

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN659420
PA

Other

Enumeration date
12/06/2021
Last updated
01/30/2026
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