Individual
MS. JULIE ANNE SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-7574
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-7574
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
AL2077
FL
208M00000X
Hospitalist Physician
PA9107485
FL
363A00000X
Physician Assistant
Primary
PA01703
RI
363A00000X
Physician Assistant
PA9107485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010370200
—
FL
01
—
AL2077
ATHLETIC TRAINER LICENSURE
FL
Enumeration date
06/02/2008
Last updated
07/01/2025
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