Healthcare Provider Details

I. General information

NPI: 1508780917
Provider Name (Legal Business Name): JULIA MARGUERITE NOEL
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: JULIA HANNON

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 CIVIC CENTER BLVD
PHILADELPHIA PA
19104-4319
US

IV. Provider business mailing address

137 SIMPSON RD
ARDMORE PA
19003-2818
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP036407
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: