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Individual
JULIE A NOVICK
Active
Individual
JULIE A NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16251.0868
WY
363L00000X
Nurse Practitioner
16821
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124874000
—
WY
01
—
315262
WY BLUE SHIELD
WY
01
—
P00435793
RAILROAD MEDICARE
WY
Enumeration date
11/16/2006
Last updated
08/14/2014
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