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JULIANNA S ROCCOGRANDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
240 MIDDLETOWN BLVD, SUITE 201, LANGHORNE, PA 19047-1832
(215) 752-9950
(215) 752-9974
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-7037
(215) 710-5181

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP003199U
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005272
CRNP PRESCRIPTIVE AUTHORITY
PA
01
008214
CRNP PRESCRIPTIVE AUTHORITY
PA
05
1030060000001
PA
01
1465277
CIGNA PA
PA
01
30179523
KEYSTONE FIRST
PA
01
3115039
HIGHMARK BLUE SHIELD
PA
01
9134600
AETNA
PA
01
P01409434
RAILROAD MEDICARE
PA
01
RN329520L
RN
PA
01
SP003199U
CRNP
PA
Enumeration date
06/23/2008
Last updated
01/30/2017
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