Individual
JULIE RENEE DE PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
3333 CHESTER LN, BAKERSFIELD, CA 93309
(661) 809-9848
Mailing address
3333 CHESTER LN, BAKERSFIELD, CA 93309-1122
(661) 809-9848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14266
CA
363LF0000X
Family Nurse Practitioner
468057 RN/ 14266 FNP
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
14266
CA
Other
Enumeration date
09/27/2012
Last updated
07/31/2018
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