Provider Demographics
NPI:1851532493
Name:ROSSI, JULIANA S (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:JULIANA
Middle Name:S
Last Name:ROSSI
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21444 CARMEAN WAY
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-4572
Mailing Address - Country:US
Mailing Address - Phone:302-855-1233
Mailing Address - Fax:855-634-9302
Practice Address - Street 1:21 W CLARKE AVE STE 1001
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1849
Practice Address - Country:US
Practice Address - Phone:302-855-1233
Practice Address - Fax:302-855-2025
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD363AM0700X
NY013182363AM0700X
DEC5-0011689363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty