Provider Demographics
NPI:1801350665
Name:DIGMAN, JULIE L
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:DIGMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 COUNTY ROAD H
Mailing Address - Street 2:
Mailing Address - City:CUBA CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53807-9536
Mailing Address - Country:US
Mailing Address - Phone:608-732-7810
Mailing Address - Fax:
Practice Address - Street 1:230 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:MINERAL POINT
Practice Address - State:WI
Practice Address - Zip Code:53565-1053
Practice Address - Country:US
Practice Address - Phone:608-553-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI32708164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse