Individual
JUDITH A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
15210 PARTHENIA ST, INORTH HILLS, CA 91343
(818) 895-3100
(818) 963-9464
Mailing address
11550 POEMA PL, CHATSWORTH, CA 91311-1119
(317) 937-5362
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22789
CA
363LP0200X
Pediatric Nurse Practitioner
71002231A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200845120
—
IN
Enumeration date
10/13/2005
Last updated
02/22/2013
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