Nielsen, Judith Ann

Nielsen, Judith Ann is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nielsen, Judith Ann can be contacted via phone (360) 414-2302.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2367
Phone: (360) 414-2302
Fax: (360) 414-2305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007740 Washington

Profile Details

NPI number 1720252505
LBN Legal business name Nielsen, Judith Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Nov 11th, 2009 - about 15 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 1720252505 NPPES
Washington MEDICAID 9657727
Washington MEDICAID 025976
Washington Other 237808

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