MEDICARE: MRS. BRENDA DIGIULIO ARNP

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
1	363LP0200X	Pediatric Nurse Practitioner	NP-10700	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1078324	OTHER	KY	ARNP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2026P	OTHER	KY	ARNP

General Provider Information

NPI Number	:	1447367198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRENDA DIGIULIO ARNP

Provider Business Mailing Address
First Line	:	14701 DETROIT AVE STE 522
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4109
Country	:	US
Telephone Number	:	216-228-3232
Fax Number	:	216-228-7507

Provider Business Practice Location Address
First Line	:	14701 DETROIT AVE STE 522
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4109
Country	:	US
Telephone Number	:	216-228-3232
Fax Number	:	216-228-7507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	03/27/2018

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