MEDICARE: JULIE SIEMER

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.0040649	OH

General Provider Information

NPI Number	:	1558212910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SIEMER

Provider Business Mailing Address
First Line	:	9708 LILY CT
Second Line	:
City	:	HARRISON
State	:	OH
Zip	:	45030-2524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9708 LILY CT
Second Line	:
City	:	HARRISON
State	:	OH
Zip	:	45030-2524
Country	:	US
Telephone Number	:	513-257-1506
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ JULIE SIEMER ” Practice Location

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