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Individual

MARCIE K JUDGE

Active
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Individual

MARCIE K JUDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71001641A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71001641A
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
71001641A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000761454
ANTHEM PTAN
IN
01
000000799556
ANTHEM PTAN
IN
01
000001051614
ANTHEM PTAN
IN
05
201063160
IN
Enumeration date
06/11/2008
Last updated
02/12/2025
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