Individual
JULIE A FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNM
Contact information
Practice address
1457 N M 52 STE 2, OWOSSO, MI 48867-1519
(989) 729-4292
(989) 725-9012
Mailing address
1457 N M 52 STE 2, OWOSSO, MI 48867-1519
(989) 729-4292
(989) 725-9012
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704259711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306462908
—
MI
Enumeration date
06/19/2020
Last updated
05/31/2023
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