Provider Demographics
NPI:1760451652
Name:OULMAN, JULIA A (CNM, ARNP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:OULMAN
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 1ST ST NW STE 200
Mailing Address - Street 2:PO BOX 1627
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3172
Mailing Address - Country:US
Mailing Address - Phone:641-423-5044
Mailing Address - Fax:641-423-0994
Practice Address - Street 1:100 1ST ST NW
Practice Address - Street 2:SUITE 200
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3130
Practice Address - Country:US
Practice Address - Phone:641-423-5044
Practice Address - Fax:641-423-0994
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR105326-3176B00000X
IAB-063607367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0057026Medicaid
IA0057026Medicaid