Susan B Julian, CNP | |
61 E Main St, Hagerstown, IN 47346-1212 | |
(765) 530-8008 | |
(765) 530-8099 |
Full Name | Susan B Julian |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 61 E Main St, Hagerstown, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508948373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71001904A (Indiana) | Primary |
Entity Name | Fort Wayne Integrative Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245686989 PECOS PAC ID: 8426338195 Enrollment ID: O20161215001122 |
Mailing Address | Practice Location Address |
---|---|
Susan B Julian, CNP 61 E Main St, Po Box 205, Hagerstown, IN 47346-1212 Ph: (765) 530-8008 | Susan B Julian, CNP 61 E Main St, Hagerstown, IN 47346-1212 Ph: (765) 530-8008 |
Kimberly Dawn Miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4829 N State Road 1, Hagerstown Family Practice, Hagerstown, IN 47346 Phone: 765-489-3935 Fax: 765-489-6344 | |
Kelli M. Mccoy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4829 N State Road 1, Hagerstown, IN 47346 Phone: 765-489-3935 Fax: 765-489-6344 |