Healthcare Provider Details

I. General information

NPI: 1982995759
Provider Name (Legal Business Name): JULIA K HOVEN ARPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3023 N BALLAS RD STE 440D
SAINT LOUIS MO
63131-2331
US

IV. Provider business mailing address

PO BOX 14000
BELFAST ME
04915-4033
US

V. Phone/Fax

Practice location:
  • Phone: 314-432-8181
  • Fax: 314-432-0090
Mailing address:
  • Phone: 773-435-9036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2005021468
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: