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Individual
JULIE SIMPSON PERTMAN
Active
Individual
JULIE SIMPSON PERTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R153446
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019019500
—
MD
01
—
R153446
RNLICENSE
MD
Enumeration date
12/13/2009
Last updated
02/05/2015
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