Provider Demographics
NPI:1316037641
Name:ROZNOWSKI-OLSON, JULIE A (RN APNPBC GNP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:ROZNOWSKI-OLSON
Suffix:
Gender:F
Credentials:RN APNPBC GNP
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:GERIATRICS
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-0725
Mailing Address - Fax:414-805-0729
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:GERIATRICS
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-0725
Practice Address - Fax:414-805-0729
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI2103033363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000373045Medicaid
WI1316037641Medicaid
WI000373045Medicaid
WI111873601Medicare PIN