Provider Demographics
NPI:1609893643
Name:HOUNCHELL, JULIE A (APRN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:HOUNCHELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 HUNGERFORD DR FL 6
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4154
Mailing Address - Country:US
Mailing Address - Phone:301-287-8601
Mailing Address - Fax:301-287-8602
Practice Address - Street 1:18201 CONTOUR RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2601
Practice Address - Country:US
Practice Address - Phone:240-740-7332
Practice Address - Fax:301-977-0269
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH048161-23363L00000X
MDR264070363LF0000X
VT1010023797363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1012238Medicaid
VTQ60922Medicare UPIN
VTNP5247Medicare ID - Type Unspecified