Healthcare Provider Details

I. General information

NPI: 1316276306
Provider Name (Legal Business Name): JULIANN APELT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANN O'BRIEN RN

II. Dates (important events)

Enumeration Date: 12/22/2009
Last Update Date: 12/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 COMLY ST
PHILADELPHIA PA
19135-3904
US

IV. Provider business mailing address

4210 COMLY ST
PHILADELPHIA PA
19135-3904
US

V. Phone/Fax

Practice location:
  • Phone: 267-304-5776
  • Fax:
Mailing address:
  • Phone: 267-304-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN546110
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: