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NPI Code Detail

MEDICARE: CATHERINE ANN CHUDZINSKI NP

MEDICARE: CATHERINE ANN CHUDZINSKI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner229804AZ

General Provider Information

NPI Number : 1225681935
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ANN CHUDZINSKI NP
Provider Business Mailing Address
First Line : 7975 N HAYDEN RD
Second Line : STE D354
City : SCOTTSDALE
State : AZ
Zip : 85258-3243
Country : US
Telephone Number : 480-214-9720
Fax Number : 480-214-9722
Provider Business Practice Location Address
First Line : 725 S DOBSON RD STE 100
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-5676
Country : US
Telephone Number : 602-795-8700
Fax Number : 602-795-8701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 04/13/2023

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Directions to “ CATHERINE ANN CHUDZINSKI NP” Practice Location

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