MEDICARE: JULIE HINDLEY

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6811110001	OTHER	CA	NSC PTAN

General Provider Information

NPI Number	:	1841460698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE HINDLEY

Provider Business Mailing Address
First Line	:	17 WOODGREEN ST
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95409
Country	:	US
Telephone Number	:	707-331-7148
Fax Number	:

Provider Business Practice Location Address
First Line	:	6574 OAKMONT DRIVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95409
Country	:	US
Telephone Number	:	707-331-7148
Fax Number	:

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

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	06/14/2026

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Directions to “ JULIE HINDLEY ” Practice Location

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