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NPI Code Detail

MEDICARE: JULIE GEARHART NP

MEDICARE:   JULIE  GEARHART  NP
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
1363LA2200XAdult Health Nurse Practitioner28096928AIN

General Provider Information

NPI Number : 1427039023
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE GEARHART NP
Provider Business Mailing Address
First Line : 500 N WABASH AVE
Second Line : STE 101
City : MARION
State : IN
Zip : 46952-2665
Country : US
Telephone Number : 765-662-4133
Fax Number : 765-651-7313
Provider Business Practice Location Address
First Line : 4781 S KAYBEE DR
Second Line :
City : GAS CITY
State : IN
Zip : 46933-6605
Country : US
Telephone Number : 765-998-9975
Fax Number : 765-998-9979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 11/23/2009

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