Provider Demographics
NPI:1780955211
Name:NEW, JULIE ELIZABETH
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ELIZABETH
Last Name:NEW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ELIZABETH
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8979 ZOELLNER DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-3026
Mailing Address - Country:US
Mailing Address - Phone:513-673-5863
Mailing Address - Fax:
Practice Address - Street 1:8979 ZOELLNER DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-3026
Practice Address - Country:US
Practice Address - Phone:513-673-5863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH128242164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse