Provider Demographics
NPI:1457879314
Name:BAILEY, JULIE A (NP-C)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:BAILEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:JUDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:944 ROOSEVELT TRL STE 14
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-5699
Mailing Address - Country:US
Mailing Address - Phone:207-383-2146
Mailing Address - Fax:207-599-2701
Practice Address - Street 1:944 ROOSEVELT TRL STE 14
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5699
Practice Address - Country:US
Practice Address - Phone:207-383-2146
Practice Address - Fax:207-599-2701
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9268876363LA2200X
MECNP231607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGOtherMEDICARE
FLPENDINGMedicaid