Vanmatre, Julie Ann

Vanmatre, Julie Ann is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Vanmatre, Julie Ann can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 448-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000332A Indiana

Profile Details

NPI number 1770542011
LBN Legal business name Vanmatre, Julie Ann
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Mar 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770542011 NPPES
Indiana Other 000000292416 ANTHEM PROVIDER NUMBER
Indiana Other 9397708 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200119450 ANTHEM PROVIDER NUMBER

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