Healthcare Provider Details

I. General information

NPI: 1982400875
Provider Name (Legal Business Name): JULIA MICHELE ROSENBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GARFIELD DR NE STE 1
WARREN OH
44483-5557
US

IV. Provider business mailing address

938 EVERETT HULL RD
CORTLAND OH
44410-9552
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-1828
  • Fax:
Mailing address:
  • Phone: 330-367-9258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF10240474
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: