Provider Demographics
NPI:1386866242
Name:ABER, JULIE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:ABER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 TWP. RD. 1656
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9490
Mailing Address - Country:US
Mailing Address - Phone:419-281-0234
Mailing Address - Fax:
Practice Address - Street 1:1175 TWP. RD. 1656
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-9490
Practice Address - Country:US
Practice Address - Phone:419-281-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN307154163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2558156Medicaid