Individual
MRS. JULIE ELIZABETH BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
715 RICHLAND MALL STE A, ONTARIO, OH 44906-3802
(419) 522-0948
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 468-0522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192679
—
OH
Enumeration date
01/30/2019
Last updated
12/28/2020
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