Provider Demographics
NPI:1437747441
Name:VOLUSE, JUDY MCMULLEN
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:MCMULLEN
Last Name:VOLUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 LAUREL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9119
Mailing Address - Country:US
Mailing Address - Phone:513-677-3166
Mailing Address - Fax:
Practice Address - Street 1:594 LAUREL OAKS DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9119
Practice Address - Country:US
Practice Address - Phone:513-677-3166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH172A00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2584547Medicaid