MEDICARE: JULIA BRADSHAW SHERRICK CNM

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	367A00000X	Advanced Practice Midwife	21120	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	36120	OTHER	MT	BCBS

General Provider Information

NPI Number	:	1700944030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA BRADSHAW SHERRICK CNM

Provider Business Mailing Address
First Line	:	195 COMMONS LOOP
Second Line	:	SUITE D
City	:	KALISPELL
State	:	MT
Zip	:	59901-1912
Country	:	US
Telephone Number	:	406-752-8180
Fax Number	:	406-752-1056

Provider Business Practice Location Address
First Line	:	195 COMMONS LOOP
Second Line	:	SUITE D
City	:	KALISPELL
State	:	MT
Zip	:	59901-1912
Country	:	US
Telephone Number	:	406-752-8180
Fax Number	:	406-752-1056

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	03/31/2008

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