Individual
JULIANNE LOCKE BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 838-6302
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
09000476C
IN
363LF0000X
Family Nurse Practitioner
4704341854
MI
367A00000X
Advanced Practice Midwife
Primary
09000476C
IN
367A00000X
Advanced Practice Midwife
APRN.CNM.0019522
OH
Other
Enumeration date
08/17/2020
Last updated
10/14/2024
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