Anderson, Judith A

Anderson, Judith A is an individual health care provider with primary practice located at 15210 Parthenia St , Inorth Hills CA 91343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Judith A can be contacted via phone (818) 895-3100.

Contact Information

Primary practice address
15210 Parthenia St Inorth Hills CA 91343
Phone: (818) 895-3100
Fax: (818) 963-9464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71002231A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 22789 California

Profile Details

NPI number 1548258452
LBN Legal business name Anderson, Judith A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548258452 NPPES
Indiana MEDICAID 200845120

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