=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639524325
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JUDITH SHUE FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2016
-----------------------------------------------------
Last Update Date | 01/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 825 SANTA BARBARA BLVD
-----------------------------------------------------
City | CAPE CORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33991-2072
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-312-7001
-----------------------------------------------------
Fax | 970-625-3169
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2232 N 7TH ST STE 7
-----------------------------------------------------
City | GRAND JUNCTION
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81501-7454
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-312-7001
-----------------------------------------------------
Fax | 970-625-3169
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | APN.0992346
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 0992346
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 11022755
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------