Individual
JUDY G BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
919 12TH PL, SUITE 13, PRESCOTT, AZ 86305
(928) 445-4272
Mailing address
5952 GOLDENROD WAY, PRESCOTT, AZ 86305-3798
(928) 710-3200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324001
—
AZ
Enumeration date
07/26/2006
Last updated
07/26/2018
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