Julie Lynn Enzweiler

Individual provider Active NPI Peer Specialist · Alexandria, KY

NPI 1043045487 · NPPES record last updated Sep 5, 2024

Key facts

NPI
1043045487
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
APS.005492 (OH)
Practice address
9 Fernwood CT
Alexandria, KY 41001-1362
Phone
(513) 510-0214
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APS.005492OHMDPeer Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.005492 OH Yes

Addresses

Primary practice location

9 Fernwood CT
Alexandria, KY 41001-1362

Mailing address

9 Fernwood CT
Alexandria, KY 41001-1362
Phone (513) 510-0214

Other providers in Alexandria, KY

All providers in Alexandria, KY · Peer Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.