Individual
JULIE M GOULANDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7470 STONE RD, MEDINA, OH 44256-8931
(216) 857-5786
Mailing address
7470 STONE RD, MEDINA, OH 44256-8931
(216) 857-5786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN219563-COA1
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.11846-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H026440
MEDICARE PTAN
OH
Enumeration date
09/24/2010
Last updated
10/22/2011
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