Bliss, Judith

Bliss, Judith is an individual health care provider with primary practice located at 17335 S Ridgerunner Dr , Vail AZ 85641-1448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bliss, Judith can be contacted via phone (999) 999-9999.

Contact Information

Primary practice address
17335 S Ridgerunner Dr Vail AZ 85641-1448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP11457 Arizona

Profile Details

NPI number 1114412681
LBN Legal business name Bliss, Judith
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2018
Last updated Sep 15th, 2023 - about last year

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 1114412681 NPPES
Arizona MEDICAID 475454

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