| Julie M Towery, NP | |
|
824 Huntington Ave # In, Warren, IN 46792-9402 | |
| (260) 375-2965 | |
| Not Available |
| Full Name | Julie M Towery |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 824 Huntington Ave # In, Warren, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902953763 | NPI | - | NPPES |
| 200240790 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71000823 (Indiana) | Primary |
| Entity Name | Cleanslate Medical Group Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie M Towery, NP 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 434-6377 | Julie M Towery, NP 824 Huntington Ave # In, Warren, IN 46792-9402 Ph: (260) 375-2965 |
Whitney J. Shafer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Bennett Dr, Warren, IN 46792 Phone: 260-375-3670 Fax: 260-375-3669 | |
Alyssa J Malone, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Bennett Dr Ste B, Warren, IN 46792 Phone: 260-375-3670 Fax: 260-375-3669 | |
Amber Mcclain, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 824 Huntington Ave, Warren, IN 46792 Phone: 260-375-2965 | |
Mary Ellen Clark, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 824 Huntington Ave, Warren, IN 46792 Phone: 260-375-2965 Fax: 260-375-2969 |