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NPI Code Detail

MEDICARE: JULIA LEVINE APRN

MEDICARE: JULIA LEVINE APRN
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
1363LP0200XPediatric Nurse Practitioner3002382KY
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN-RN.229911OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000045391OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063411486
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA LEVINE APRN
Provider Business Mailing Address
First Line : 5050 MADISON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1491
Country : US
Telephone Number : 513-272-2800
Fax Number : 513-631-7484
Provider Business Practice Location Address
First Line : 5050 MADISON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1491
Country : US
Telephone Number : 513-272-2800
Fax Number : 513-631-7484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 09/22/2022

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