Doctor Name: | JULIE M EPPLE |
NPI Number: | 1043242183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN., BC., FNP |
License Number: | 123926 |
Business Practice Address: | 1500 Calvary Church Rd Festus, MO - 630284125 |
Business Phone Number: | 6369332900 |
Business Fax Number: | 6369332998 |
Mailing Address: | 1500 Calvary Church Rd, FESTUS |
State: | MO |
Postal Code: | 630284125 |
Phone Number: | 6369332900 |
Fax Number: | 6369332998 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 123926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |