Individual
JUDITH JOSEPH CHEDVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNS-BC
Contact information
Practice address
3828 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
(512) 406-6266
Mailing address
4515 SETON CENTER PKWY, SUITE 215, AUSTIN, TX 78759-5290
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
775817
TX
364SA2200X
Adult Health Clinical Nurse Specialist
775817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321951101
—
TX
05
—
321951102
—
TX
Enumeration date
08/16/2012
Last updated
02/20/2017
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