Individual
JULIA FABIAN WAUCHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
145 N 6TH ST, READING, PA 19601-3096
(610) 816-2720
Mailing address
145 N 6TH ST, READING, PA 19601-3096
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SPO22475
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038432310002
—
PA
Enumeration date
10/05/2020
Last updated
04/04/2023
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