Individual
JUDY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609-9622
(276) 963-3554
(276) 963-4802
Mailing address
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609-9622
(276) 963-3554
(276) 936-4802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002083441
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T66521585
—
VA
Enumeration date
03/18/2022
Last updated
03/18/2022
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