Julianne Locke Brubaker, APRN | |
1400 E 2nd St, Defiance, OH 43512-9905 | |
(419) 783-3273 | |
(419) 783-2799 |
Full Name | Julianne Locke Brubaker |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1400 E 2nd St, Defiance, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821600347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704341854 (Michigan) | Secondary |
367A00000X | Advanced Practice Midwife | APRN.CNM.0019522 (Ohio) | Primary |
Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
Mailing Address | Practice Location Address |
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Julianne Locke Brubaker, APRN 1400 E 2nd St, Defiance, OH 43512-9905 Ph: () - | Julianne Locke Brubaker, APRN 1400 E 2nd St, Defiance, OH 43512-9905 Ph: (419) 783-3273 |
Donna J Augustine, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-2799 | |
Ms. Danielle Elaine Lange, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-6955 |