JULIE ANN SUPPLE

LOS ANGELES, CA
NPI1598831315
Former NameJULIE ANN BACKES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  NP95016499)
Additional Taxonomies163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: AZ  AP7333)
363LA2200X Nurse Practitioner, Adult Health
(Licence: AZ  AP7333)
163W00000X Registered Nurse
(Licence: AZ  RN086670)
Enumeration Date2006-11-24
Last Update Date2021-12-08
Business Address
JULIE ANN SUPPLE NP-C
1520 SAN PABLO ST STE 3800
LOS ANGELES, CA 90033-5328
Phone number: 323-442-5720
Mailing Address
JULIE ANN SUPPLE NP-C
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5720