Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | NP06470 | OH |
Y | 363LW0102X | Nurse Practitioner - Women's Health | NP06470 | OH |
NPI | 1073523874 |
---|---|
Provider Name | Julie A Cianchetti-Bridgeford |
First Address | Hamilton, OH 45011-6078 |
Second Address | Hamilton, OH 45013-6367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 18/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063482 | WORKERS COMP NUMBER (01) | OH |
2040759 | (05) | OH |
2103600 | (05) | OH |
2108221 | (05) | OH |
2318503 | (05) | OH |
Q30300 | (02) | OH |