Julia M. Fine, FNP, PHD
Individual provider Active NPI Family Nurse Practitioner · Spencer, IN
NPI 1174645915 · NPPES record last updated Mar 27, 2012
Key facts
- NPI
- 1174645915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71002255A (IN)
- Practice address
- 911 W Hillside Ave
Spencer, IN 47460-1119 - Phone
- (812) 829-0303
- Fax
- (812) 829-0303
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002255A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone Health Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002255A | IN | Yes |
Addresses
Primary practice location
911 W Hillside Ave
Spencer, IN 47460-1119
Mailing address
PO Box 393
Greencastle, IN 46135-0393
Phone (765) 653-6171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200841090 | Medicaid | IN |
Other providers in Spencer, IN
- Lagrotta Doty
- Vera Edgeworth
- Elaine Ellett
- Ahmed Faragallah Ibrahim Faragallah
- Rachel Lynn Farrell
- Emme French
- Samantha Jo Fritch
- Jocelyn Elaine Frye
- Green Dental of Owen County
- Pamela Jane Gutierrez
All providers in Spencer, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.