Julia Lynne Risley in Fort Wayne - Medical
Julia Lynne Risley - NPI 1437121712
Julia Lynne Risley is a Medical in Fort Wayne, Indiana. Julia Lynne Risley practices all healthcare services and medical treatments related to Medical. The NPI Number for Julia Lynne Risley is 1437121712. The last update date is 2011-12-20.
Julia Lynne Risley's current location address is 5750 Coventry Ln, Fort Wayne, Indiana. You can contact this provider via phone number 2604369337 and fax number 2604369626. The mailing address for Julia Lynne Risley is 5750 Coventry Ln, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julia Lynne Risley |
|---|---|
| Address | 5750 Coventry Ln, Fort Wayne, Indiana |
| Phone Number | 2604369337 |
| Fax Number | 2604369626 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1437121712 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2011-12-20 |
Provider Mailing Address Detail
| Address | 5750 Coventry Ln |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468047166 |
| Phone Number | 2604369337 |
| Fax Number | 2604369626 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 10000508A |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 301921 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Julia Lynne Risley by the Centers for Medicare & Medicaid Services?
The Julia Lynne Risley has been issued the NPI (National Provider Identifier) 1437121712 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Julia Lynne Risley is located?
The Julia Lynne Risley is situated at the following address: 5750 Coventry Ln, Fort Wayne, IN, 468047166.
What is Julia Lynne Risley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Julia Lynne Risley's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Julia Lynne Risley receive the assignment of its 1437121712 from the Centers for Medicare & Medicaid Services?
The Julia Lynne Risley was issued its 1437121712 by the Centers for Medicare & Medicaid Services on 2006-02-02.
When was the information related to Julia Lynne Risley most recently updated or refreshed?
The details pertaining to the Julia Lynne Risley, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-20.