Healthcare Provider Details

I. General information

NPI: 1962096768
Provider Name (Legal Business Name): JULIE L GARVER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2793 SHAWNEE RD
LIMA OH
45806-1444
US

IV. Provider business mailing address

2793 SHAWNEE RD
LIMA OH
45806-1444
US

V. Phone/Fax

Practice location:
  • Phone: 419-227-8209
  • Fax: 419-222-6007
Mailing address:
  • Phone: 419-227-8209
  • Fax: 419-222-6007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0028413
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: