MEDICARE: MRS. JULIE KAE RICH CRNP

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	207P00000X	Emergency Medicine Physician	SP007297	PA
2	363L00000X	Nurse Practitioner	SP007297	PA

General Provider Information

NPI Number	:	1124028980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE KAE RICH CRNP

Provider Business Mailing Address
First Line	:	231 HOFFECKER RD
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-1509
Country	:	US
Telephone Number	:	610-327-7105
Fax Number	:	610-327-7676

Provider Business Practice Location Address
First Line	:	1701 INNOVATION DR
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-8815
Country	:	US
Telephone Number	:	717-988-0000
Fax Number	:	717-782-5716

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	09/15/2025

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