Spicer, Judith Ida

Spicer, Judith Ida is an individual health care provider with primary practice located at 12011 Lee Jackson Memorial Hwy Kaiser Permanente Penderbrook Medical Center, Fairfax VA 22033-3310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spicer, Judith Ida can be contacted via phone (703) 383-5407.

Contact Information

Primary practice address
12011 Lee Jackson Memorial Hwy Kaiser Permanente Penderbrook Medical Center Fairfax VA 22033-3310
Phone: (703) 383-5407
Fax: (703) 383-5489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0001083670 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024164531 Virginia

Profile Details

NPI number 1952463549
LBN Legal business name Spicer, Judith Ida
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Dec 6th, 2012 - 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.

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