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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548258452 | NPPES |
| Indiana | MEDICAID | 200845120 |
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