Individual
MRS. JULIE ANNE PASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7685
(574) 307-7692
Mailing address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7685
(574) 307-7692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007447A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040469
MEDICARE
IN
05
—
300069384
—
IN
Enumeration date
09/07/2017
Last updated
12/08/2023
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