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NPI Code Detail

MEDICARE: JULIE A CIANCHETTI-BRIDGEFORD C.N.P.

MEDICARE: JULIE A CIANCHETTI-BRIDGEFORD C.N.P.
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
1207V00000XObstetrics & Gynecology PhysicianNP06470OH
2363LW0102XWomen's Health Nurse PractitionerNP06470OH

Other Identifiers

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

General Provider Information

NPI Number : 1073523874
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A CIANCHETTI-BRIDGEFORD C.N.P.
Provider Business Mailing Address
First Line : PO BOX 837
Second Line :
City : HAMILTON
State : OH
Zip : 45012-0837
Country : US
Telephone Number : 513-454-1460
Fax Number : 937-223-9811
Provider Business Practice Location Address
First Line : 903 NW WASHINGTON BLVD STE A
Second Line :
City : HAMILTON
State : OH
Zip : 45013-6367
Country : US
Telephone Number : 513-454-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 01/09/2025

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