Provider Demographics
NPI:1598892291
Name:RISCHAR, JULIE L (CNM)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:RISCHAR
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 W. NEWBERRY RD
Mailing Address - Street 2:STE 111
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605
Mailing Address - Country:US
Mailing Address - Phone:352-331-3332
Mailing Address - Fax:352-331-3320
Practice Address - Street 1:6440 W. NEWBERRY RD
Practice Address - Street 2:STE 111
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605
Practice Address - Country:US
Practice Address - Phone:352-331-3332
Practice Address - Fax:352-331-3320
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLANT9220948363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology