Julie C Blossom-Hartley, MD
Family Medicine in Grand Rapids, Michigan
1689194631- Practice location
- 300 Lafayette Ave SE Ste 4000, Grand Rapids, MI 49503-4692
- Phone
- 616-685-6922
- Fax
- —
- Last updated
- October 26, 2023
Julie C Blossom-Hartley is a Family Medicine based in Grand Rapids, MI. Julie C Blossom-Hartley practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Julie C Blossom-Hartley is 1689194631 and holds a License No. LP04116 (RI). The current practice location address for Julie C Blossom-Hartley is 300 Lafayette Ave SE Ste 4000, Grand Rapids, MI 49503-4692 and can be reached out via phone at 616-685-6922.
Provider Profile Details
- NPI Number
- 1689194631
- Provider Name
- Julie C Blossom-Hartley
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 Lafayette Ave SE Ste 4000, Grand Rapids, MI 49503-4692
- Phone Number
- 616-685-6922
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 21, 2017
- Last Update Date
- October 26, 2023
- Certification Date
- October 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Lafayette Ave SE Ste 4000
Grand Rapids, MI 49503-4692 - City
- Grand Rapids
- State
- Michigan
- Zip
- 49503-4692
- Phone Number
- 616-685-6922
Provider Business Mailing Address Details
- Address
- 111 Brewster St
Fcc A
Pawtucket, RI 02860 - City
- Pawtucket
- State
- RI
- Zip
- 02860
- Phone Number
- 401-729-2304
- Fax Number
- 401-729-2541
License Information
- License Number (1)
- LP04116
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 4301509984
- License State (2)
- MI
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Julie C Blossom-Hartley, MD?
The NPI number of Julie C Blossom-Hartley, MD is 1689194631. It was assigned on June 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Julie C Blossom-Hartley, MD?
Julie C Blossom-Hartley, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP04116.
Where does Julie C Blossom-Hartley, MD practice?
The practice location is 300 Lafayette Ave SE Ste 4000, Grand Rapids, MI 49503-4692. The office can be reached at 616-685-6922 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689194631 directly on the NPPES registry website.