Individual
JULIA MOSES NUTTER
Active
Individual
JULIA MOSES NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0001275
DE
363LF0000X
Family Nurse Practitioner
LG-0001275
DE
363LF0000X
Family Nurse Practitioner
Primary
R165102
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0524441 00
—
MD
01
—
238495Y2B
MEDICARE
MD
05
—
250719303
—
DE
05
—
250719365
—
DE
05
—
250719369
—
DE
05
—
250721122
—
DE
Enumeration date
02/20/2012
Last updated
08/23/2024
Update your record
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