Provider Demographics
NPI:1356675839
Name:ROEGER, JULIE MARIE (DOULA (DONA))
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MARIE
Last Name:ROEGER
Suffix:
Gender:F
Credentials:DOULA (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2457 WEST DEERPATH DR.
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-6023
Mailing Address - Country:US
Mailing Address - Phone:804-683-9709
Mailing Address - Fax:
Practice Address - Street 1:2457 WEST DEERPATH DR.
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-6023
Practice Address - Country:US
Practice Address - Phone:804-683-9709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula