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NPI Code Detail

MEDICARE: JULIE HALLA-JOEL

MEDICARE: JULIE HALLA-JOEL
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
1363LF0000XFamily Nurse PractitionerR 107153-3MN

General Provider Information

NPI Number : 1073790820
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE HALLA-JOEL
Provider Business Mailing Address
First Line : 920 2ND AVE S STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55402-4010
Country : US
Telephone Number : 612-225-1538
Fax Number :
Provider Business Practice Location Address
First Line : 920 2ND AVE S STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55402-4010
Country : US
Telephone Number : 612-225-1538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2008
Last Update Date : 01/27/2009

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Directions to “ JULIE HALLA-JOEL ” Practice Location

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