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:
Health care specialties
Specialty | Code | License # | 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 16 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 | 1720252505 | NPPES |
Washington | MEDICAID | 9657727 | |
Washington | MEDICAID | 025976 | |
Washington | Other | 237808 |
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