Waterbury, Julie Lynne

Waterbury, Julie Lynne is an sole proprietor health care provider with primary practice located at 10420 Old Olive Street Rd Ste 205 , Saint Louis MO 63141-5937. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Waterbury, Julie Lynne can be contacted via phone (314) 504-4698.

Contact Information

Primary practice address
10420 Old Olive Street Rd Ste 205 Saint Louis MO 63141-5937
Phone: (314) 504-4698
Fax: (314) 692-9978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2011023150 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2011023150 Missouri

Profile Details

NPI number 1447552260
LBN Legal business name Waterbury, Julie Lynne
Credentials A.P.R.N.-F.N.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2010
Last updated Jan 24th, 2018 - about 8 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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