Individual
MRS. JULIE MARIE SPRAGUE-MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3572
(510) 248-3375
Mailing address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3572
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
304979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN304979
—
CA
Enumeration date
11/17/2006
Last updated
07/08/2007
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