Provider Demographics
NPI:1073907846
Name:SADLER, JULIE ANN (LPN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:SADLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 STATE ROUTE 113 EAST
Mailing Address - Street 2:
Mailing Address - City:BERLIN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814-9517
Mailing Address - Country:US
Mailing Address - Phone:419-921-5096
Mailing Address - Fax:
Practice Address - Street 1:5001 STATE ROUTE 113 EAST
Practice Address - Street 2:
Practice Address - City:BERLIN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44814-9517
Practice Address - Country:US
Practice Address - Phone:419-921-5096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 087870164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1073907846OtherNPI IDENTIFIER