Leona Elizabeth Judson in Santa Rosa - Family

Leona Elizabeth Judson - NPI 1811922255

Leona Elizabeth Judson is a Family in Santa Rosa, California. Leona Elizabeth Judson practices all healthcare services and medical treatments related to Family. The NPI Number for Leona Elizabeth Judson is 1811922255. The last update date is 2007-07-08.

Leona Elizabeth Judson's current location address is 3536 Mendocino Avenue, Santa Rosa, California. You can contact this provider via phone number 7075711280 and fax number 7075785849. The mailing address for Leona Elizabeth Judson is 3536 Mendocino Avenue, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Leona Elizabeth Judson
Address 3536 Mendocino Avenue, Santa Rosa, California
Phone Number 7075711280
Fax Number 7075785849
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1811922255
Provider Enumeration Date 2006-07-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3536 Mendocino Avenue
City Santa Rosa
State California (CA)
Post Code 95403
Phone Number 7075711280
Fax Number 7075785849

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 478
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Leona Elizabeth Judson

What is the unique identifier code issued to Leona Elizabeth Judson by the Centers for Medicare & Medicaid Services (CMS)?

The Leona Elizabeth Judson has been assigned the NPI (National Provider Identifier) 1811922255. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Leona Elizabeth Judson?

The Leona Elizabeth Judson is situated at 3536 Mendocino Avenue, in the city of Santa Rosa, state of CA, with the zip code 95403.

What is the Leona Elizabeth Judson's area of specialization and corresponding taxonomy classification?

The Leona Elizabeth Judson's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.

On what date did the Leona Elizabeth Judson receive the assignment of its 1811922255 from the Centers for Medicare & Medicaid Services?

The Leona Elizabeth Judson was issued its 1811922255 by the Centers for Medicare & Medicaid Services on 2006-07-12.

When was the information related to Leona Elizabeth Judson most recently updated or refreshed?

The details pertaining to the Leona Elizabeth Judson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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