| Doctor Name: | JUDITH C BLIND |
| NPI Number: | 1013001510 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | RN 291392 |
| Business Practice Address: | 1519 S Oregon St Yreka, CA - 960973425 |
| Business Phone Number: | 5308429200 |
| Business Fax Number: | 5308429207 |
| Mailing Address: | 1519 S Oregon St, YREKA |
| State: | CA |
| Postal Code: | 960973425 |
| Phone Number: | 5304842920 |
| Fax Number: | 5304849207 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN 291392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |