Individual
ANN BUNNELL JUDKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, NP, MA
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
186706
NY
363LW0102X
Women's Health Nurse Practitioner
F360168
NY
367A00000X
Advanced Practice Midwife
Primary
F000099
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01041309
—
NY
Enumeration date
11/16/2005
Last updated
05/25/2011
Update your record
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