Provider Demographics
NPI:1427219344
Name:ROCCOGRANDI, JULIANNA S (CRNP)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:S
Last Name:ROCCOGRANDI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:240 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1832
Practice Address - Country:US
Practice Address - Phone:215-752-9950
Practice Address - Fax:215-752-9974
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP003199U363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA005272OtherCRNP PRESCRIPTIVE AUTHORITY
PA3115039OtherHIGHMARK BLUE SHIELD
PA9134600OtherAETNA
PASP003199UOtherCRNP
PA1030060000001Medicaid
PARN329520LOtherRN
PA1465277OtherCIGNA PA
PAP01409434OtherRAILROAD MEDICARE
PA008214OtherCRNP PRESCRIPTIVE AUTHORITY
PA30179523OtherKEYSTONE FIRST
PA3115039OtherHIGHMARK BLUE SHIELD