Provider Demographics
NPI:1508894320
Name:BUDINGER, JULIE M (MSN RNCS CRNP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:M
Last Name:BUDINGER
Suffix:
Gender:F
Credentials:MSN RNCS CRNP
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Mailing Address - Street 1:3200 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1227
Mailing Address - Country:US
Mailing Address - Phone:304-757-5948
Mailing Address - Fax:
Practice Address - Street 1:501 MORRIS STREET
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301
Practice Address - Country:US
Practice Address - Phone:304-388-7859
Practice Address - Fax:304-388-7890
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WVAPRN57165-GNP-BC363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVS48174Medicare UPIN