NPI 1578672150

Julie Anne Addis, CRNA

Practitioner Certified Registered Nurse Anesthetist South Bend, IN

Practice location

Address: 53830 Generations Dr, South Bend, IN 46635-1543
Phone: (574) 271-0893
Mailing address: 17501 Generations Dr, South Bend, IN 46635-1589

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28182698A (IN)

Other Nurse Anesthetist, Certified Registered providers in Indiana →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 051170 (MN)

Registry record

NPI: 1578672150
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2006
Record last updated: 18 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.