MEDICARE: ALL TRENDZ HEALTHCARE LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1487244620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL TRENDZ HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	293 LAKE HILLS CT
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-3531
Country	:	US
Telephone Number	:	740-503-8505
Fax Number	:	740-919-5638

Provider Business Practice Location Address
First Line	:	293 LAKE HILLS CT
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-3531
Country	:	US
Telephone Number	:	740-503-8505
Fax Number	:	740-919-5638

Authorized Official
Title or Position	:	OWNER OF ENTITY
Name	:	JULANA A ALSPACH
Credential	:	PHD, APRN-CNP, FNP-
Telephone Number	:	740-503-8505

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	11/22/2023

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