Provider Demographics
NPI:1093023855
Name:NEDELL, JULIET ANNE (LPN)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:ANNE
Last Name:NEDELL
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 1:1988 STANCREST RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9588
Mailing Address - Country:US
Mailing Address - Phone:440-655-9354
Mailing Address - Fax:
Practice Address - Street 1:1988 STANCREST RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9588
Practice Address - Country:US
Practice Address - Phone:440-655-9354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH130833164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse