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Individual
JULIE ANN WETTLAUFER
Active
Individual
JULIE ANN WETTLAUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027160401
UNIVERA
—
01
—
000560224001
BC/BS
—
05
—
0014387840001
—
PA
05
—
01299412
—
NY
01
—
040426001131
FIDELIS
—
01
—
9590313
IHA
—
Enumeration date
04/28/2006
Last updated
10/29/2008
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