Hetherington, Judy Lyn

Hetherington, Judy Lyn is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Medical Oncology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hetherington, Judy Lyn can be contacted via phone (443) 997-0400.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (443) 997-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R131559 Maryland
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X R131559 Maryland

Profile Details

NPI number 1538102603
LBN Legal business name Hetherington, Judy Lyn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 12th, 2022 - about 2 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 1538102603 NPPES
Maryland MEDICAID 699815100
Maryland Other C31152
Maryland Other P00123941

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