Provider Demographics
NPI:1194969345
Name:CHANG, JULIE ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:CHANG
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:30 WOODENS LN
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08530-2603
Mailing Address - Country:US
Mailing Address - Phone:215-939-1473
Mailing Address - Fax:636-212-8372
Practice Address - Street 1:THE CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIAC DEPT
Practice Address - Street 2:34TH STREET & CIVIC CENTER BOULEVARD
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:215-939-1473
Practice Address - Fax:215-590-5415
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010244363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily