Provider Demographics
NPI:1174575021
Name:PARVE, JULIE A (NP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:PARVE
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 1:12500 W BLUEMOUND ROAD
Mailing Address - Street 2:AURORA QUICK CARE
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2600
Mailing Address - Country:US
Mailing Address - Phone:262-787-2114
Mailing Address - Fax:
Practice Address - Street 1:3711 S TAYLOR DRIVE
Practice Address - Street 2:AURORA QUICK CARE
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53082-8496
Practice Address - Country:US
Practice Address - Phone:920-457-2915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI123414163W00000X
WI2323-033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41175300Medicaid
006906261QOtherHUMANA
006906261QOtherHUMANA