MEDICARE: MS. JUDITH ANN ABELL MS, NP-BC

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
1	163WH0200X	Home Health Registered Nurse	RN040573	AZ
2	163WW0000X	Wound Care Registered Nurse	RN040573	AZ
3	363L00000X	Nurse Practitioner	AP7786	AZ
4	363LA2200X	Adult Health Nurse Practitioner	AP7786	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP7786	OTHER	AZ	NP LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	RN040573	OTHER	AZ	RN

General Provider Information

NPI Number	:	1003916990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH ANN ABELL MS, NP-BC

Provider Business Mailing Address
First Line	:	10010 W ROYAL OAK RD APT R
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3168
Country	:	US
Telephone Number	:	801-273-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	10010 W ROYAL OAK RD APT R
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3168
Country	:	US
Telephone Number	:	801-273-0001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	06/14/2024

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