| Doctor Name: | MS. JULIE ANN AVERBECK |
| NPI Number: | 1063466191 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 86080-030 |
| Business Practice Address: | 4855 S Moorland Rd Suite 150 New Berlin, WI - 531517494 |
| Business Phone Number: | 4144255660 |
| Business Fax Number: | 4144259803 |
| Mailing Address: | 4855 S Moorland Rd, Suite 150 NEW BERLIN |
| State: | WI |
| Postal Code: | 531517494 |
| Phone Number: | 4144255660 |
| Fax Number: | 4144259803 |
| NPI Enumeration Date: | 05/22/2006 |
| NPI Last Update Date: | 03/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 86080-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |