# JUDY A. NELSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124152251
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 0420008063 | VT | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 06/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01177095 | — | NY |
| 05 | — | 1002916 | — | VT |
| 01 | — | 1345435-001 | CIGNA | — |
| 01 | — | 26156 | MVP (MOHAWK VALLEY HP) | — |
| 01 | — | 286234 | CIGNA NH | NH |
| 01 | — | 5457 | VT BLUE CROSS BLUE SHIELD | VT |