Basic Information
| Provider Information | |||||||||
| NPI: | 1043420003 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEAN-PELIKAN | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RNC, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3750 CENTURY DR | ||||||||
| Address2: | |||||||||
| City: | CAMPBELL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950083834 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087429775 | ||||||||
| FaxNumber: | 4087421420 | ||||||||
| Practice Location | |||||||||
| Address1: | 1111 LOCKHEED MARTIN WAY | ||||||||
| Address2: | BLDG. 152 ORG. 360S | ||||||||
| City: | SUNNYVALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940891212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087429775 | ||||||||
| FaxNumber: | 4087421420 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 345136 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.