| Julie Crow-petersen, NP | |
|
6065 State Highway 193, Georgetown, CA 95634-9623 | |
| (530) 333-2548 | |
| Not Available |
| Full Name | Julie Crow-petersen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6065 State Highway 193, Georgetown, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619438249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95011449 (California) | Primary |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Entity Name | Swope Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972500593 PECOS PAC ID: 2264403443 Enrollment ID: O20040802001469 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Crow-petersen, NP Po Box 45680, San Francisco, CA 94145-0680 Ph: (530) 626-2618 | Julie Crow-petersen, NP 6065 State Highway 193, Georgetown, CA 95634-9623 Ph: (530) 333-2548 |
Janis Leigh Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6065 State Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 Fax: 530-748-0340 | |
Ms. Debra Boardman-cheevers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6065 Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 Fax: 530-333-2832 |