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Individual

JUDITH S ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
15210 L P BAILEY MEMORIAL HWY, NATHALIE, VA 24577-3304
(434) 349-3113
(434) 349-2172
Mailing address
15210 L P BAILEY MEMORIAL HWY, NATHALIE, VA 24577-3304
(434) 349-3113
(434) 349-2172

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024050390
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007610661
VA
Enumeration date
06/21/2005
Last updated
06/23/2009
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