Provider Demographics
NPI:1881375061
Name:AILTS, JULIA KAY (APRN-CNP, RN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KAY
Last Name:AILTS
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Gender:F
Credentials:APRN-CNP, RN
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Mailing Address - Street 1:4470 INDIANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2244
Mailing Address - Country:US
Mailing Address - Phone:614-371-2303
Mailing Address - Fax:800-905-9950
Practice Address - Street 1:4470 INDIANOLA AVE STE 107
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2244
Practice Address - Country:US
Practice Address - Phone:614-371-2303
Practice Address - Fax:800-905-9950
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN.465609163WP0808X
OHAPRN.CNP.0034662363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health