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Individual

JULIA ANNE ST CLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1601 MEDICAL ARTS BLVD, SUITE 102, ANDERSON, IN 46011-3458
(765) 298-4720
(765) 298-4958
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28182643A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000835569
ANTHEM
IN
05
201177150
IN
Enumeration date
08/01/2013
Last updated
11/27/2023
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