Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 110273 | NE |
NPI | 1033139548 |
---|---|
Provider Name | Julie Ann Schlomer |
First Address | Norfolk, NE 68701 |
Second Address | Norfolk, NE 68701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47073897413 | (05) | NE |
E59433 | (02) | NE |