Individual
DR. JULIE RENNE VIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2563
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 853-4721
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
010688
AZ
207VG0400X
Gynecology Physician
Primary
34008514
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831116730
GROUP NPI
OH
01
—
2021458
GROUP MEDICAID
OH
05
—
2569402
—
OH
01
—
4166061
MEDICARE PTAN
OH
Enumeration date
05/26/2006
Last updated
04/13/2026
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