Powell, Julie Clausen
Powell, Julie Clausen is an individual health care provider with primary practice located at 1005 Mar Walt Drive Cvs Minute Clinic, Fort Walton Beach FL 32547-6707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powell, Julie Clausen can be contacted via phone (850) 863-8219.Contact Information
Primary practice address
1005 Mar Walt Drive Cvs Minute Clinic
Fort Walton Beach FL 32547-6707
Phone: (850) 863-8219
Fax: (850) 863-8249
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11009143 | Florida |
Profile Details
NPI number | 1053605857 |
---|---|
LBN Legal business name | Powell, Julie Clausen |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2011 |
Last updated | Jan 29th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053605857 | NPPES |
Florida | MEDICAID | 108557900 |
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