Doctor Name: | MS. JUDITH ANN ABELL |
NPI Number: | 1003916990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NP |
License Number: | 71000898A |
Business Practice Address: | 14780 W. Mountain View Blvd. Suite 110 Surprise, AZ - 853747280 |
Business Phone Number: | 6233747774 |
Business Fax Number: | 8777965302 |
Mailing Address: | 14780 W. Mountain View Blvd., Suite 110 SURPRISE |
State: | AZ |
Postal Code: | 853747280 |
Phone Number: | 6233747774 |
Fax Number: | 8777965302 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 71000898A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |