Individual
JUDITH BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
17335 S RIDGERUNNER DR, VAIL, AZ 85641-1448
(999) 999-9999
Mailing address
17335 S RIDGERUNNER DR, VAIL, AZ 85641-1448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11457
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475454
—
AZ
Enumeration date
06/27/2018
Last updated
09/15/2023
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