Provider Demographics
NPI:1811714595
Name:ROGAN, JULIE (DNP, CNS, ACCNS-AG)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:
Last Name:ROGAN
Suffix:
Gender:F
Credentials:DNP, CNS, ACCNS-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 E HAZZARD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-1319
Mailing Address - Country:US
Mailing Address - Phone:215-834-2502
Mailing Address - Fax:
Practice Address - Street 1:1831 E HAZZARD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-1319
Practice Address - Country:US
Practice Address - Phone:215-834-2502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN596599163WC0200X
PACNS000197364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine