Provider Demographics
NPI:1427294198
Name:UELTSCHY, JULIE DEANNE (LPN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:DEANNE
Last Name:UELTSCHY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:DEANNE
Other - Last Name:BENNINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:833 PARRISH ST
Mailing Address - Street 2:
Mailing Address - City:UHRICHSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44683-1443
Mailing Address - Country:US
Mailing Address - Phone:330-260-0386
Mailing Address - Fax:
Practice Address - Street 1:833 PARRISH ST
Practice Address - Street 2:
Practice Address - City:UHRICHSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44683-1443
Practice Address - Country:US
Practice Address - Phone:330-260-0386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.131001164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse