Individual
JULIA L STAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - NP
Contact information
Practice address
4402 CHURCHMAN AVE, SUITE 300, LOUISVILLE, KY 40215-1190
(502) 363-0588
(502) 363-0972
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 363-0588
(502) 363-0972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100395440
—
KY
Enumeration date
01/29/2016
Last updated
04/28/2016
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