Julie M Towery, NP | |
824 Huntington Ave # In, Warren, IN 46792-9402 | |
(260) 375-2965 | |
Not Available |
Full Name | Julie M Towery |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 824 Huntington Ave # In, Warren, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902953763 | NPI | - | NPPES |
200240790 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71000823 (Indiana) | Primary |
Entity Name | Cleanslate Medical Group Of Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
Mailing Address | Practice Location Address |
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Julie M Towery, NP 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 434-6377 | Julie M Towery, NP 824 Huntington Ave # In, Warren, IN 46792-9402 Ph: (260) 375-2965 |
Whitney J. Shafer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Bennett Dr, Warren, IN 46792 Phone: 260-375-3670 Fax: 260-375-3669 | |
Alyssa J Malone, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Bennett Dr Ste B, Warren, IN 46792 Phone: 260-375-3670 Fax: 260-375-3669 | |
Amber Mcclain, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 824 Huntington Ave, Warren, IN 46792 Phone: 260-375-2965 |