Julie Carpenter, FNP

Individual provider Active NPI Family Nurse Practitioner · Baldwinsville, NY

NPI 1740505437 · NPPES record last updated Apr 6, 2010

Key facts

NPI
1740505437
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
F332597-1 (NY)
Practice address
29 E Oneida St
Baldwinsville, NY 13027-2480
Phone
(315) 638-6018
Fax
(315) 635-3970
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
F332597-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwinsville Central School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332597-1 NY Yes

Addresses

Primary practice location

29 E Oneida St
Baldwinsville, NY 13027-2480

Mailing address

129 Eagle Crest Dr
Camillus, NY 13031-9694
Phone (315) 638-6055

Other providers in Baldwinsville, NY

All providers in Baldwinsville, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.