Healthcare Provider Details

I. General information

NPI: 1497510341
Provider Name (Legal Business Name): JULIA LUPIDI THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

5152 SUNRISE VIEW CIR
LIBERTY TOWNSHIP OH
45044-9351
US

V. Phone/Fax

Practice location:
  • Phone: 513-675-8816
  • Fax:
Mailing address:
  • Phone: 513-675-8816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0036900
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.302355
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: