MEDICARE: JULIE DANIELLE GARZ CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN60963528	WA
2	367A00000X	Advanced Practice Midwife	AP60938210	WA

General Provider Information

NPI Number	:	1477691459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE DANIELLE GARZ CNM

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0608
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	5350 TALLMAN AVE NW STE 420
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5902
Country	:	US
Telephone Number	:	208-781-6080
Fax Number	:	206-781-6285

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	05/04/2020

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