Basic Information
| Provider Information | |||||||||
| NPI: | 1235350976 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CABEL | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3100 HARTFORD DR | ||||||||
| Address2: | |||||||||
| City: | BETTENDORF | ||||||||
| State: | IA | ||||||||
| PostalCode: | 527223961 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5633327057 | ||||||||
| FaxNumber: | 5634213129 | ||||||||
| Practice Location | |||||||||
| Address1: | 1228 E RUSHOLME ST | ||||||||
| Address2: | MOB 1 SUITE 112 | ||||||||
| City: | DAVENPORT | ||||||||
| State: | IA | ||||||||
| PostalCode: | 528032467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5634213122 | ||||||||
| FaxNumber: | 5634213129 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2007 | ||||||||
| LastUpdateDate: | 04/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | A-066394 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | A-066394 | 01 | IA | LICENSE NUMBER | OTHER |