Mctaggart, Judith
Mctaggart, Judith is an individual health care provider with primary practice located at 564 S Mcculloch Blvd W Ste 101 , Pueblo West CO 81007-6136. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Mctaggart, Judith can be contacted via phone (850) 776-1550.Contact Information
Primary practice address
564 S Mcculloch Blvd W Ste 101
Pueblo West CO 81007-6136
Phone: (850) 776-1550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 100114 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1-059319 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | ARNP-LIC-100114 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 100114 | Montana |
Profile Details
| NPI number | 1144342346 |
|---|---|
| LBN Legal business name | Mctaggart, Judith |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Feb 5th, 2024 - about 7 months 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 | 1144342346 | NPPES |
| Mississippi | MEDICAID | 04008859 | |
| Mississippi | MEDICAID | 312198400 | |
| Mississippi | Other | 051541215 | |
| Mississippi | MEDICAID | 569100098 |
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