Provider Demographics
NPI:1174744866
Name:QUIRK, JULIANNE E (LPN)
Entity type:Individual
Prefix:MISS
First Name:JULIANNE
Middle Name:E
Last Name:QUIRK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 WATER STREET
Mailing Address - Street 2:
Mailing Address - City:MAHANOY PLANE
Mailing Address - State:PA
Mailing Address - Zip Code:17949
Mailing Address - Country:US
Mailing Address - Phone:717-283-6391
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY ROAD
Practice Address - Street 2:SUITE 240
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462
Practice Address - Country:US
Practice Address - Phone:610-834-1122
Practice Address - Fax:610-834-7525
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN272366251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care