Lassen, Judith Mary
Lassen, Judith Mary is an individual health care provider with primary practice located at 1510 N Stockton Hill Rd , Kingman AZ 86401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lassen, Judith Mary can be contacted via phone (928) 753-1177.Contact Information
Primary practice address
1510 N Stockton Hill Rd
Kingman AZ 86401
Phone: (928) 753-1177
Fax: (928) 753-1178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP3817 | Arizona |
Profile Details
| NPI number | 1831407865 |
|---|---|
| LBN Legal business name | Lassen, Judith Mary |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2010 |
| Last updated | Jan 2nd, 2019 - about 5 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 | 1831407865 | NPPES |
| Arizona | MEDICAID | 556159 |
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