Stevens, Julie A

Stevens, Julie A is an individual health care provider with primary practice located at 3520 E. Louise Dr , Meridian ID 83642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Stevens, Julie A can be contacted via phone (208) 955-0350.

Contact Information

Primary practice address
3520 E. Louise Dr Meridian ID 83642
Fax: (208) 955-0352
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP470A California

Profile Details

NPI number 1225008998
LBN Legal business name Stevens, Julie A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 15th, 2013 - about 11 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 1225008998 NPPES
Idaho Other 000010148210 REGENCE BLUE SHIELD OF ID
Idaho MEDICAID 806990600 REGENCE BLUE SHIELD OF ID
Idaho Other NPJD1 REGENCE BLUE SHIELD OF ID

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