# JULIE VYHANEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790503522
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10004637A | IN | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |

## Other

- **Enumeration date:** 10/01/2024
- **Last updated:** 12/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300100003 | — | IN |
