JULIE RENEE BRUNDAGE LPN
NPI 1144806480
Licensed Practical Nurse in Newark, NY

Active since March 18, 2021
184 MARBLETOWN RD APT C, NEWARK, NY 14513(315) 521-0360 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Julie Renee Brundage Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE RENEE BRUNDAGE LPN (NPI 1144806480) is an individual licensed practical nurse in Newark, New York, licensed in New York (316425-1) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1144806480
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJULIE RENEE BRUNDAGECredential: LPN
Location Address184 MARBLETOWN RD APT CNewark, NY 14513-9018
Mailing Address184 Marbletown Rd Apt CNewark, NY 14513-9018 · (315) 521-0360
Sole ProprietorYes
Enumeration DateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
NPI 1144806480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 316425-1
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

184 MARBLETOWN RD APT C, Newark, NY 14513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144806480, enumerated as an "individual" on March 18, 2021.

The provider is located at 184 MARBLETOWN RD APT C NEWARK, NY 14513 and the phone number is (315) 521-0360.

Licensed Practical Nurse with taxonomy code 164W00000X.