Provider Demographics
NPI:1689223133
Name:BELT, JULIE LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:BELT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 VERNON DR
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-1622
Mailing Address - Country:US
Mailing Address - Phone:620-804-3628
Mailing Address - Fax:
Practice Address - Street 1:719 VERNON DR
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-1622
Practice Address - Country:US
Practice Address - Phone:620-804-3628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-07
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-78943-111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily