Provider Demographics
NPI:1467687020
Name:CLEARY, JULIE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:CLEARY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:LENTSCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:9342 W. LOOMIS ROAD
Mailing Address - Street 2:UNIT 7
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8129
Mailing Address - Country:US
Mailing Address - Phone:414-858-9756
Mailing Address - Fax:
Practice Address - Street 1:9342 W. LOOMIS ROAD
Practice Address - Street 2:UNIT 7
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8129
Practice Address - Country:US
Practice Address - Phone:414-858-9756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135387-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse