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Ms. Augustine Julie Prodjinotho
Family Nurse Practitioner in Yuma, Arizona
NPI 1770233355

Augustine Julie Prodjinotho is a Family Nurse Practitioner based in Yuma, AZ and is specialized in Family. Augustine Julie Prodjinotho practices in Yuma, AZ. The NPI Number for Augustine Julie Prodjinotho is 1770233355 and holds a License No. 259971 (Arizona).

The current practice location address for Augustine Julie Prodjinotho is 3910 S Brianna Dr, Yuma, AZ and can be reached out via phone at 928-503-6643.

Location: 3910 S Brianna Dr, Yuma, AZ, 85364-7170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770233355
Provider Name
Augustine Julie Prodjinotho
Credential
Provider Entity Type
Individual
Gender
Female
Address
3910 S Brianna Dr, Yuma, AZ, 85364-7170
Phone Number
928-503-6643
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3910 S Brianna Dr
City
Yuma
State
Arizona
Zip
85365-1403
Phone Number
928-503-6643
Fax Number
person
Provider Business Mailing Address Details
Address
3910 S Brianna Dr
City
Yuma
State
Arizona
Zip
85365-1403
Phone Number
928-503-6643
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
259971 (Arizona)
Definition
Definition to come...
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