Organization
HIGH DESERT WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH MARY LASSEN DNP,FNP-BC (CEO)
(928) 377-0355
Entity
Organization
Contact information
Practice address
3856 N BONITA RD, GOLDEN VALLEY, AZ 86413-9353
(928) 377-0355
Mailing address
3856 N BONITA RD, GOLDEN VALLEY, AZ 86413-9353
(928) 377-0355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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