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Individual
JUDY YI
Active
Individual
JUDY YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95006221
CA
363LA2200X
Adult Health Nurse Practitioner
95006221
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95006221
CA
364SA2100X
Acute Care Clinical Nurse Specialist
95006221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95006221
BRN
CA
Enumeration date
04/05/2017
Last updated
05/13/2020
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