Provider Demographics
NPI:1053575654
Name:CULMONE, JULIE D (APRN-BC, CWOCN)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:D
Last Name:CULMONE
Suffix:
Gender:F
Credentials:APRN-BC, CWOCN
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:DESHAIES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, APRN
Mailing Address - Street 1:121 SHUNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-1178
Mailing Address - Country:US
Mailing Address - Phone:860-635-7921
Mailing Address - Fax:
Practice Address - Street 1:114 WOODLAND ST
Practice Address - Street 2:DEPT OF SURGERY
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1208
Practice Address - Country:US
Practice Address - Phone:860-714-5942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-12
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT066597163WC1600X, 163WH0200X
CT3812363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WH0200XNursing Service ProvidersRegistered NurseHome Health