Judith Louise Pedersen in Berry Creek - Registered Nurse
Judith Louise Pedersen - NPI 1548311574
Judith Louise Pedersen is a Registered Nurse in Berry Creek, California. Judith Louise Pedersen practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Judith Louise Pedersen is 1548311574. The last update date is 2007-07-09.
Judith Louise Pedersen's current location address is 90 Starcrest Ln, Berry Creek, California. You can contact this provider via phone number 5305894659 and fax number 5305894659. The mailing address for Judith Louise Pedersen is 90 Starcrest Ln, Berry Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Louise Pedersen |
|---|---|
| Address | 90 Starcrest Ln, Berry Creek, California |
| Phone Number | 5305894659 |
| Fax Number | 5305894659 |
| Sole Proprietor | Y |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1548311574 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 90 Starcrest Ln |
|---|---|
| City | Berry Creek |
| State | California (CA) |
| Post Code | 959169756 |
| Phone Number | 5305894659 |
| Fax Number | 5305894659 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 180338 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180338 | CA | NURSING LICENSE | |
| RVN004240 | CA | -- | |
| EPS016050 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Judith Louise Pedersen by the Centers for Medicare & Medicaid Services?
The Judith Louise Pedersen has been issued the NPI (National Provider Identifier) 1548311574. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Judith Louise Pedersen is geographically located?
The Judith Louise Pedersen is physically situated at the following location: 90 Starcrest Ln, Berry Creek, CA, 959169756.
What is the Judith Louise Pedersen's specialty and taxonomy code?
The Judith Louise Pedersen's specialty is Registered Nurse, and the corresponding taxonomy code is 163W00000X.
When did Judith Louise Pedersen receive its 1548311574 assignment?
The Judith Louise Pedersen was assigned its 1548311574 on 2007-01-16, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Judith Louise Pedersen most recently updated or revised?
The details related to Judith Louise Pedersen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.