Doctor Name: | JULIANNE E ANDERSON |
NPI Number: | 1003922675 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 335 |
Business Practice Address: | 320 Alpenglow Lane Livingston, MT - 59047 |
Business Phone Number: | 4068236414 |
Business Fax Number: | 4068236287 |
Mailing Address: | 320 Alpenglow Lane, LIVINGSTON |
State: | MT |
Postal Code: | 59047 |
Phone Number: | 4068236414 |
Fax Number: | 4068236287 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |