Provider Demographics
NPI:1700060720
Name:BEEHLER, JULIE M (ARNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:BEEHLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:BOOMSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:800 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-4575
Mailing Address - Country:US
Mailing Address - Phone:507-238-8100
Mailing Address - Fax:507-238-8100
Practice Address - Street 1:240 N RERICK AVE
Practice Address - Street 2:
Practice Address - City:PRIMGHAR
Practice Address - State:IA
Practice Address - Zip Code:51245-7786
Practice Address - Country:US
Practice Address - Phone:712-957-2310
Practice Address - Fax:712-957-0504
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA103839363L00000X
MN8862363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1700060720Medicaid