Individual
MRS. TAMIKA SIMONE JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM, WHNP-BC
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-5188
Mailing address
428 COLUMBUS AVE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
421036
NY
367A00000X
Advanced Practice Midwife
Primary
438
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
09/30/2011
Last updated
01/17/2020
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