Judd, Stacy Danielle

Judd, Stacy Danielle is an individual health care provider with primary practice located at 2212 Penfield Rd Ste 100 , Penfield NY 14526-1756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Judd, Stacy Danielle can be contacted via phone (585) 598-8505.

Contact Information

Primary practice address
2212 Penfield Rd Ste 100 Penfield NY 14526-1756
Phone: (585) 598-8505
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 349850 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F349850-01 New York

Profile Details

NPI number 1093066250
LBN Legal business name Judd, Stacy Danielle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Jul 22nd, 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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