Provider Demographics
NPI:1780246801
Name:MARCELLO, JULIETTE (APRN-CNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:
Last Name:MARCELLO
Suffix:
Gender:F
Credentials:APRN-CNP, PMHNP-BC
Other - Prefix:
Other - First Name:JULIETTE
Other - Middle Name:
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP, PMHNP-BC
Mailing Address - Street 1:3219 CLIFTON AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-3047
Mailing Address - Country:US
Mailing Address - Phone:513-346-1270
Mailing Address - Fax:513-346-1281
Practice Address - Street 1:300 WEATHERSTONE DR # 187
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-7833
Practice Address - Country:US
Practice Address - Phone:380-215-2660
Practice Address - Fax:380-215-2660
Is Sole Proprietor?:No
Enumeration Date:2019-06-29
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025015363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health