MS. Augustine Julie Prodjinotho
MS. Augustine Julie Prodjinotho is a Family Nurse Practitioner in Yuma, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2022
Practice location Address checks out
3910 S Brianna DrYuma, AZ 85365-1403
Phone: (928) 503-6643
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 259971 (AZ) |
|---|
Record details
| NPI number | 1770233355 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2022 |
| Last updated in NPPES | April 22, 2025 |
| Certification date | April 22, 2025 |
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