Individual
SUE ANN JUDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
3033 KETTERING BLVD STE 100, MORAINE, OH 45439
(937) 293-2133
(855) 252-2435
Mailing address
4201 AERO DR, MASON, OH 45040-8818
(513) 770-4122
(513) 486-1691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019753
OH
Other
Enumeration date
10/07/2016
Last updated
11/23/2023
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