Healthcare Provider Details

I. General information

NPI: 1487244620
Provider Name (Legal Business Name): ALL TRENDZ HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

293 LAKE HILLS CT
PICKERINGTON OH
43147-3531
US

IV. Provider business mailing address

293 LAKE HILLS CT
PICKERINGTON OH
43147-3531
US

V. Phone/Fax

Practice location:
  • Phone: 740-503-8505
  • Fax: 740-919-5638
Mailing address:
  • Phone: 740-503-8505
  • Fax: 740-919-5638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

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