Chedville, Judith Joseph
Chedville, Judith Joseph is an individual health care provider with primary practice located at 3828 S 1St St , Austin TX 78704-7048. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Chedville, Judith Joseph can be contacted via phone (512) 443-1311.Contact Information
Primary practice address
3828 S 1St St
Austin TX 78704-7048
Phone: (512) 443-1311
Fax: (512) 406-6266
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 775817 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 775817 | Texas |
Profile Details
NPI number | 1336497650 |
---|---|
LBN Legal business name | Chedville, Judith Joseph |
Credentials | RN, ACNS-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2012 |
Last updated | Feb 20th, 2017 - about 7 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 | 1336497650 | NPPES |
Texas | MEDICAID | 321951102 | |
Texas | MEDICAID | 321951101 |
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