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Contact Information

JULIA L MUCKERMAN, CNM, MSN
777 HOSPITAL WAY
SUITE 300
POCATELLO, ID83201-5175
 Phone: 208-232-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for JULIA L MUCKERMAN · (Female)

NPI Number 1790917789
Status Active
Credentials CNM, MSN
Entity Individual
Enumeration date 08/10/2009
Last updated 04/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ID License # CNM 54A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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