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NPI Code Detail

MEDICARE: JULIE ANNE WALDROP

MEDICARE:   JULIE ANNE WALDROP
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
1311ZA0620XAdult Care Home FacilityAF370376577MI

General Provider Information

NPI Number : 1144867961
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANNE WALDROP
Provider Business Mailing Address
First Line : 9320 E PICKARD RD
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-9463
Country : US
Telephone Number : 989-600-9567
Fax Number :
Provider Business Practice Location Address
First Line : 9320 E PICKARD RD
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-9463
Country : US
Telephone Number : 989-600-9567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2019
Last Update Date : 12/01/2019

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Directions to “ JULIE ANNE WALDROP ” Practice Location

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