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Individual
MRS. JUDY MARIE NIELL
Active
Individual
MRS. JUDY MARIE NIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207269603
—
TX
05
—
207269604
—
TX
05
—
207269605
—
TX
05
—
207269606
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-022
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
8284ND
BCBS
TX
01
—
8287ND
BCBS
TX
01
—
8660NN
BCBS
TX
01
—
8691NN
BCBS
TX
01
—
P01291627
RAIL ROAD MEDICARE
TX
01
—
P01464137
RAIL ROAD MEDICARE
TX
Enumeration date
03/06/2007
Last updated
04/01/2016
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