Provider Demographics
NPI:1770917544
Name:ALEXANDER-RUFF, JULIE HEATHER (CPNP, APN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:HEATHER
Last Name:ALEXANDER-RUFF
Suffix:
Gender:F
Credentials:CPNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3274 GARDENBROOK LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-0686
Mailing Address - Country:US
Mailing Address - Phone:406-599-9576
Mailing Address - Fax:
Practice Address - Street 1:1417 13TH AVENUE EAST
Practice Address - Street 2:
Practice Address - City:POPLAR
Practice Address - State:MT
Practice Address - Zip Code:59255-0000
Practice Address - Country:US
Practice Address - Phone:406-480-5668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT32333363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTMA2966717OtherDEA