Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2011018416 | MO |
N | 207XS0106X | Orthopaedic Hand Surgeon | 036.141204 | IL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 2013009623 | MO |
NPI | 1144516634 |
---|---|
Provider Name | Dr. Julia Ann Vetter Nuelle |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 05/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200029714 | (05) | MO |