Provider Demographics
NPI:1417137407
Name:RANK EARLEY, JULIE (L P N)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:RANK EARLEY
Suffix:
Gender:F
Credentials:L P N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 GORDON ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-3655
Mailing Address - Country:US
Mailing Address - Phone:937-778-1595
Mailing Address - Fax:
Practice Address - Street 1:753 GORDON ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-3655
Practice Address - Country:US
Practice Address - Phone:937-778-1595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN089538164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse