Provider Demographics
NPI:1821774795
Name:KEELER, JULIANNE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:KEELER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:OZBOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:185 FRANKS AVE
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281
Mailing Address - Country:US
Mailing Address - Phone:330-714-3652
Mailing Address - Fax:
Practice Address - Street 1:1900 23RD ST # 1100
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1404
Practice Address - Country:US
Practice Address - Phone:330-971-7989
Practice Address - Fax:330-926-5865
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034217363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner