Basic Information
| Provider Information | |||||||||
| NPI: | 1427219344 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROCCOGRANDI | ||||||||
| FirstName: | JULIANNA | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 UNIVERSITY DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | NEWTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189401873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157107037 | ||||||||
| FaxNumber: | 2157105181 | ||||||||
| Practice Location | |||||||||
| Address1: | 240 MIDDLETOWN BLVD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157529950 | ||||||||
| FaxNumber: | 2157529974 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2008 | ||||||||
| LastUpdateDate: | 01/30/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | SP003199U | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
ID Information
| ID | Type | State | Issuer | Description | 005272 | 01 | PA | CRNP PRESCRIPTIVE AUTHORITY | OTHER | 3115039 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 9134600 | 01 | PA | AETNA | OTHER | SP003199U | 01 | PA | CRNP | OTHER | 1030060000001 | 05 | PA | MEDICAID | RN329520L | 01 | PA | RN | OTHER | 1465277 | 01 | PA | CIGNA PA | OTHER | P01409434 | 01 | PA | RAILROAD MEDICARE | OTHER | 008214 | 01 | PA | CRNP PRESCRIPTIVE AUTHORITY | OTHER | 30179523 | 01 | PA | KEYSTONE FIRST | OTHER |