Grannan, Julie C.

Grannan, Julie C. is an individual health care provider with primary practice located at 4101 Technology Ave , New Albany IN 47150-8548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grannan, Julie C. can be contacted via phone (812) 941-4500.

Contact Information

Primary practice address
4101 Technology Ave New Albany IN 47150-8548
Phone: (812) 941-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001841A Indiana

Profile Details

NPI number 1639173594
LBN Legal business name Grannan, Julie C.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639173594 NPPES
Indiana MEDICAID 200835150A

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