Provider Demographics
NPI:1679347892
Name:TRUMAN, JULIANNE (RD)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:TRUMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:LAROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1330 OKEEFFE AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-4229
Mailing Address - Country:US
Mailing Address - Phone:989-859-8679
Mailing Address - Fax:
Practice Address - Street 1:4602 EASTPARK BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-2002
Practice Address - Country:US
Practice Address - Phone:608-440-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered