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Individual

MAUREEN L JUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7277 SMITHS MILL RD STE 250, NEW ALBANY, OH 43054-8196
(614) 221-3725
(614) 221-5613
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(614) 221-3725
(614) 464-0157

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.10223
OH
363L00000X
Nurse Practitioner
COA10223NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP28582
MEDICARE PTAN
OH
01
RN196132
STATE LICENSE
OH
Enumeration date
10/10/2008
Last updated
07/21/2023
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