MEDICARE: JULIE ANNE ROSENBERG RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	781673	TX

General Provider Information

NPI Number	:	1710791314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANNE ROSENBERG RN

Provider Business Mailing Address
First Line	:	6410 FANNIN ST STE 810
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST STE 810
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5201
Country	:	US
Telephone Number	:	713-824-6807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/04/2025

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