MEDICARE: JULIE BAGLIONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN.CNP.019415	OH

General Provider Information

NPI Number	:	1104278308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE BAGLIONE

Provider Business Mailing Address
First Line	:	1391 W 5TH AVE
Second Line	:	SUITE 260
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2902
Country	:	US
Telephone Number	:	216-310-5384
Fax Number	:

Provider Business Practice Location Address
First Line	:	1391 W 5TH AVE
Second Line	:	SUITE 260
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2902
Country	:	US
Telephone Number	:	440-231-0791
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	09/12/2016

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Directions to “ JULIE BAGLIONE ” Practice Location

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