Provider Demographics
NPI:1558316026
Name:BATES, JULIE W (CNM)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:W
Last Name:BATES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:210 SUNNYVIEW LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3135
Mailing Address - Country:US
Mailing Address - Phone:406-751-8009
Mailing Address - Fax:406-257-6463
Practice Address - Street 1:210 SUNNYVIEW LN
Practice Address - Street 2:SUITE 101
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3135
Practice Address - Country:US
Practice Address - Phone:406-751-8009
Practice Address - Fax:406-257-6463
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MTRN25420367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1558316026OtherBCBS
MT1558316026Medicaid
6215OtherACNM
MT1558316026OtherBCBS