Provider Demographics
NPI:1871946350
Name:STROUD, JULIA (NP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:STROUD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 JEFFERSON RD
Mailing Address - Street 2:STE 110
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3233
Mailing Address - Country:US
Mailing Address - Phone:585-419-7948
Mailing Address - Fax:585-385-6071
Practice Address - Street 1:755 JEFFERSON RD
Practice Address - Street 2:STE 110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3233
Practice Address - Country:US
Practice Address - Phone:585-419-7948
Practice Address - Fax:585-385-6071
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily