Individual provider · Type 1 NPI
Julie Anne Liberty, AGPCNP-BC
Gerontology Nurse Practitioner · Detroit, MI
NPI number
1639038458
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
10230 Smiths Creek Rd
Wales, MI 48027-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2026024314 (MI) |
| Registered Nurse | 163W00000X | 4704370532 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1639038458
Julie Anne Liberty, AGPCNP-BC's National Provider Identifier is 1639038458, issued on Jan 19, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Detroit, MI. The record was last updated on Oct 9, 2026.