Kuczenski, Judith A
Kuczenski, Judith A is an individual health care provider with primary practice located at 3930 Northwoods Dr - Mail Stop 32800A Health Partners Arden Hills Clinic, Arden Hills MN 55112-6974. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kuczenski, Judith A can be contacted via phone (651) 523-8500.Contact Information
Primary practice address
3930 Northwoods Dr - Mail Stop 32800A Health Partners Arden Hills Clinic
Arden Hills MN 55112-6974
Phone: (651) 523-8500
Fax: (651) 523-8584
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R1122275 | Minnesota |
Profile Details
NPI number | 1063484343 |
---|---|
LBN Legal business name | Kuczenski, Judith A |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Dec 1st, 2011 - about 13 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 | 1063484343 | NPPES |
Minnesota | MEDICAID | 284027800 |
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