Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 71006775A | IN |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 71006775A | IN |
NPI | 1003351339 |
---|---|
Provider Name | Julie M Warnecke |
First Address | Indianapolis, IN 46260-1317 |
Second Address | Indianapolis, IN 46202-1228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2016 |
Last Update Date | 12/04/2021 |