Provider Demographics
NPI:1497431407
Name:CHIMIENTI, JULIA NICOLE (APRN)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:NICOLE
Last Name:CHIMIENTI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 320
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05667-0320
Mailing Address - Country:US
Mailing Address - Phone:802-454-8336
Mailing Address - Fax:833-464-5249
Practice Address - Street 1:PO BOX 320
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:VT
Practice Address - Zip Code:05667-0320
Practice Address - Country:US
Practice Address - Phone:802-454-8336
Practice Address - Fax:833-464-5249
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0136294363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner