Individual
JUDITH A PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, APRN
Contact information
Practice address
3768 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-8502
(330) 533-8490
(330) 533-8783
Mailing address
3768 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-8502
(330) 533-8490
(330) 533-8783
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-02586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2359719
—
OH
Enumeration date
03/14/2007
Last updated
09/14/2010
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