Judith Ann Damstrom in Jacksonville - Pediatrics

Judith Ann Damstrom - NPI 1013975374

Judith Ann Damstrom is a Pediatrics in Jacksonville, North Carolina. Judith Ann Damstrom practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Judith Ann Damstrom is 1013975374. The last update date is 2007-07-08.

Judith Ann Damstrom's current location address is 414 Creedmoor Rd, Jacksonville, North Carolina. You can contact this provider via phone number 9105810116. The mailing address for Judith Ann Damstrom is 414 Creedmoor Rd, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Ann Damstrom
Address 414 Creedmoor Rd, Jacksonville, North Carolina
Phone Number 9105810116
Fax Number
Sole Proprietor N
Credentials R.N.

NPI Number Detail

NPI Number 1013975374
Provider Enumeration Date 2006-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 414 Creedmoor Rd
City Jacksonville
State North Carolina (NC)
Post Code 285466021
Phone Number 9105810116
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 163Wp0200X
Licence No 26NO09003500
Definition:
A registered nurse who cares for infant, child, and adolescent patients.

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FAQs about Judith Ann Damstrom

What is the unique identifier code issued to Judith Ann Damstrom by the Centers for Medicare & Medicaid Services?

The Judith Ann Damstrom has been assigned the NPI (National Provider Identifier) 1013975374. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Judith Ann Damstrom is geographically located?

The Judith Ann Damstrom is physically situated at the following location: 414 Creedmoor Rd, Jacksonville, NC, 285466021.

What is Judith Ann Damstrom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Judith Ann Damstrom is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 163Wp0200X.

On what date did Judith Ann Damstrom receive its 1013975374 assignment from the Centers for Medicare & Medicaid Services?

The Judith Ann Damstrom was assigned its 1013975374 on 2006-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Judith Ann Damstrom most recently updated or revised?

The details related to Judith Ann Damstrom, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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