Individual
JULIE MARIE PRUIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
801 MACARTHUR BLVD, SUITE 304, MUNSTER, IN 46321-2915
(219) 836-1060
(219) 836-1014
Mailing address
801 MACARTHUR BLVD, MUNSTER, IN 46321
(219) 836-1060
(219) 836-1014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28140240A
IN
Other
Enumeration date
10/13/2014
Last updated
05/16/2016
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