Provider Demographics
NPI:1932970787
Name:KEPPLE, JULIA CLAIRE (CRNA)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CLAIRE
Last Name:KEPPLE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:CLAIRE
Other - Last Name:HORMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16801 E MISSION PKWY APT P302
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-5121
Mailing Address - Country:US
Mailing Address - Phone:425-281-5489
Mailing Address - Fax:
Practice Address - Street 1:101 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2307
Practice Address - Country:US
Practice Address - Phone:425-281-5489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA123456367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered