Healthcare Provider Details

I. General information

NPI: 1003916990
Provider Name (Legal Business Name): JUDITH ANN ABELL MS, NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 MERIDIAN AVE E STE A
EDGEWOOD WA
98371-1032
US

IV. Provider business mailing address

2222 MERIDIAN AVE E STE A
EDGEWOOD WA
98371-1032
US

V. Phone/Fax

Practice location:
  • Phone: 206-407-4171
  • Fax: 253-294-7069
Mailing address:
  • Phone: 206-407-4171
  • Fax: 253-294-7069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN040573
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN040573
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP7786
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP7786
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: