Provider Demographics
NPI:1831248426
Name:STEWART, JULIA A (CRNP)
Entity type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:A
Last Name:STEWART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:STEWART ROESSLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:708 WISTERIA DR
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2482
Mailing Address - Country:US
Mailing Address - Phone:215-206-3085
Mailing Address - Fax:
Practice Address - Street 1:708 WISTERIA DR
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2482
Practice Address - Country:US
Practice Address - Phone:215-206-3085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP006613D363L00000X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0200XNursing Service ProvidersRegistered NursePediatrics