MEDICARE: DR. JULIE MARIE NIYONIZERA D.C.

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	111N00000X	Chiropractor	2914	TN

General Provider Information

NPI Number	:	1669706271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE MARIE NIYONIZERA D.C.

Provider Business Mailing Address
First Line	:	101 TENNESSEE WAY STE 100
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-3160
Country	:	US
Telephone Number	:	615-651-4471
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 TENNESSEE WAY STE 100
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-3160
Country	:	US
Telephone Number	:	615-651-4471
Fax Number	:

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

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	06/06/2022

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