MRS. JULIE TUTAK MALY ARNP NPI 1972536514

NPI Information

NPI: 1972536514
Provider Name: MRS. JULIE TUTAK MALY, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MY CHOICE OPERATING COMPANY LLC

PECOS Registration: Yes

Address:
13927 SHIPWRECK CIR N
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 570-9404
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MRS. Julie Tutak Maly, ARNP is a family nurse practitioner in Jacksonville, FL with 22 years of experience. MRS. Julie Tutak Maly, ARNP NPI is 1972536514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13927 SHIPWRECK CIR N
JACKSONVILLE, FL
ZIP 32224-121
Phone: (904) 570-9404
Fax: (904) 379-9332

The NPI 1972536514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 1/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	ARNP3307172	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P90929	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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