Provider Demographics
NPI:1427610690
Name:BENDER, JULIANNE LANAE (DNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:LANAE
Last Name:BENDER
Suffix:
Gender:
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:LANAE
Other - Last Name:BENDER-LEWTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, PMHNP-BC
Mailing Address - Street 1:6607 W ST JOE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-7825
Mailing Address - Country:US
Mailing Address - Phone:517-619-1308
Mailing Address - Fax:517-292-0380
Practice Address - Street 1:6607 W ST JOE HWY STE 200
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-7825
Practice Address - Country:US
Practice Address - Phone:517-619-1308
Practice Address - Fax:517-292-0380
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704276323363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health