Provider Demographics
NPI:1740812783
Name:WELLNER, JULE (CNP)
Entity type:Individual
Prefix:MRS
First Name:JULE
Middle Name:
Last Name:WELLNER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JULE
Other - Middle Name:
Other - Last Name:SARACHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1401 S ARCH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4288
Mailing Address - Country:US
Mailing Address - Phone:330-596-7848
Mailing Address - Fax:
Practice Address - Street 1:1401 S ARCH AVE STE A
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4288
Practice Address - Country:US
Practice Address - Phone:330-596-7848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022973363L00000X
OHAPRN.CNP.022973363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner