Provider Demographics
NPI:1700017423
Name:CROSKEY, JULIE MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:CROSKEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 S HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-3013
Mailing Address - Country:US
Mailing Address - Phone:614-668-2316
Mailing Address - Fax:
Practice Address - Street 1:294 S HARRIS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-3013
Practice Address - Country:US
Practice Address - Phone:614-668-2316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN104556164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse