Individual
JULIA ANN LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(808) 212-6651
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
58833
ID
176B00000X
Midwife
3371243
ID
367A00000X
Advanced Practice Midwife
Primary
3371243
ID
Other
Enumeration date
10/30/2024
Last updated
01/22/2025
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