Individual
SHANAZ NACY JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3600 N PROW RD, BLOOMINGTON, IN 47404-1616
(812) 331-8000
Mailing address
3611 S BAINBRIDGE DR, BLOOMINGTON, IN 47401-8753
(812) 325-0391
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71013275A
IN
Other
Enumeration date
11/07/2022
Last updated
12/19/2022
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