Provider Demographics
NPI:1780098095
Name:DRUDE, JULIA (CNM, FNP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:DRUDE
Suffix:
Gender:F
Credentials:CNM, FNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:DRUDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:274 HANNA MILL POND RD
Mailing Address - Street 2:
Mailing Address - City:CHATTAHOOCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:32324-3422
Mailing Address - Country:US
Mailing Address - Phone:850-228-6598
Mailing Address - Fax:
Practice Address - Street 1:880 E END RD
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-7201
Practice Address - Country:US
Practice Address - Phone:907-435-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9249007363LF0000X
FL367A00000X
AK123008363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife