Individual
DR. JULIE PATRICIA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9004 FERN PARK DRIVE, BURKE, VA 22015
(703) 425-5300
Mailing address
9004 FERN PARK DRIVE, BURKE, VA 22015
(703) 425-5300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101044681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00140004
BCBS
DC
01
—
0300067
UNITED HEALTHCARE
—
01
—
0546555
ANTHEM
VA
05
—
5920272
—
VA
Enumeration date
09/22/2006
Last updated
07/08/2007
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