Julie Heather Alexander-Ruff, CPNP, APN

Individual provider Active NPI Pediatric Nurse Practitioner · Poplar, MT

NPI 1770917544 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1770917544
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
32333 (MT)
Practice address
1417 13TH Avenue East
Poplar, MT 59255-0000
Phone
(406) 480-5668
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32333MTMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 32333 MT Yes

Addresses

Primary practice location

1417 13TH Avenue East
Poplar, MT 59255-0000

Mailing address

3274 Gardenbrook LN
Bozeman, MT 59715-0686
Phone (406) 599-9576

Other providers in Poplar, MT

All providers in Poplar, MT · Pediatric Nurse Practitioner in Montana

Sources for this page

Verify at the official NPI Registry.