Individual
CHRISTIAN MICHAEL JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP APRN
Contact information
Practice address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124
(888) 949-4864
Mailing address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
5254477-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5254477-4405
UT
Other
Enumeration date
12/08/2012
Last updated
11/10/2022
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