Provider Demographics
NPI:1730854647
Name:ALBERT, JULIANNE SCHILLING
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:SCHILLING
Last Name:ALBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20375 W 151ST ST STE 409
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7210
Mailing Address - Country:US
Mailing Address - Phone:913-780-3388
Mailing Address - Fax:913-780-3256
Practice Address - Street 1:20375 W 151ST ST STE 409
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7210
Practice Address - Country:US
Practice Address - Phone:913-780-3388
Practice Address - Fax:913-780-3256
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021026488363LF0000X
KS53-80291-022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily