Individual
JULIET M NOTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Mailing address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008939A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28191137A
REGISTERED NURSE
IN
01
—
71008939A
APN PRESCRIPTIVE AUTHORITY
IN
01
—
71008939B
CSR PRESCRIPTIVE AUTHORITY
IN
Enumeration date
06/05/2019
Last updated
03/24/2021
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