Provider Demographics
NPI:1184213514
Name:OGDEN, JULIE (BSN, RN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:OGDEN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2088 TUCKER TRL
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8085
Mailing Address - Country:US
Mailing Address - Phone:614-929-4776
Mailing Address - Fax:
Practice Address - Street 1:2088 TUCKER TRL
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-8085
Practice Address - Country:US
Practice Address - Phone:614-929-4776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN259856163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice