Individual
JULIE A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3520 E. LOUISE DR, MERIDIAN, ID 83642
(208) 955-0350
(208) 955-0352
Mailing address
3520 E. LOUISE DR, MERIDIAN, ID 83642
(208) 955-0350
(208) 955-0352
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP470A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148210
REGENCE BLUE SHIELD OF ID
ID
05
—
806990600
—
ID
01
—
NPJD1
BLUE CROSS OF IDAHO
ID
Enumeration date
01/25/2006
Last updated
01/15/2013
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