Doctor Name: | MS. JUDITH ANN RESNICK |
NPI Number: | 1043490725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 178666 |
Business Practice Address: | 6301 Beach Blvd Suite 216, Oc Hca Phcn Area 1 Buena Park, CA - 906212840 |
Business Phone Number: | 7145621772 |
Business Fax Number: | 7145621773 |
Mailing Address: | Po Box 355, County Of Orange Hca, Building 11 SANTA ANA |
State: | CA |
Postal Code: | 927020355 |
Phone Number: | 7145621772 |
Fax Number: | 7145621773 |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 178666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |