Provider Demographics
NPI:1124752530
Name:ZEDLITZ, JULIE A
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:ZEDLITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 VALLEYWOODS DR
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-1000
Mailing Address - Country:US
Mailing Address - Phone:419-266-0139
Mailing Address - Fax:
Practice Address - Street 1:319 VALLEYWOODS DR
Practice Address - Street 2:
Practice Address - City:SWANTON
Practice Address - State:OH
Practice Address - Zip Code:43558-1000
Practice Address - Country:US
Practice Address - Phone:419-266-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker