Provider Demographics
NPI:1902667561
Name:HAERLE, JULIAN FRANCISCO (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:FRANCISCO
Last Name:HAERLE
Suffix:
Gender:M
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 28TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-3521
Mailing Address - Country:US
Mailing Address - Phone:727-331-4461
Mailing Address - Fax:
Practice Address - Street 1:500 ROSER PARK DR S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-5214
Practice Address - Country:US
Practice Address - Phone:727-898-4461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028256363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner