JULIE ANNE ADDIS

SOUTH BEND, IN
NPI1578672150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28182698A)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  051170)
Enumeration Date2006-08-29
Last Update Date2015-02-18
Business Address
Mrs. JULIE ANNE ADDIS CRNA
53830 GENERATIONS DR
SOUTH BEND, IN 46635-1543
Phone number: 574-271-0893
Mailing Address
Mrs. JULIE ANNE ADDIS CRNA
17501 GENERATIONS DR
SOUTH BEND, IN 46635-1589
Phone number: 574-234-0049