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NPI Code Detail

MEDICARE: DR JUDITH OCHIENG FNP-BC LLC

MEDICARE: DR JUDITH OCHIENG FNP-BC LLC
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
1364SF0001XFamily Health Clinical Nurse SpecialistAP5284AZ

General Provider Information

NPI Number : 1235581794
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR JUDITH OCHIENG FNP-BC LLC
Provider Business Mailing Address
First Line : PO BOX 36210
Second Line :
City : TUCSON
State : AZ
Zip : 85740-6210
Country : US
Telephone Number : 520-297-1803
Fax Number : 520-531-0128
Provider Business Practice Location Address
First Line : 1925 W ORANGE GROVE RD STE 103
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1150
Country : US
Telephone Number : 520-297-1803
Fax Number : 520-531-0128
Authorized Official
Title or Position : OWNER/SOLE PROVIDER
Name : DR. JUDITH OCHIENG
Credential : FNP-BC
Telephone Number : 520-297-1803
Provider Enumeration Date : 07/08/2016
Last Update Date : 12/15/2016

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Directions to “DR JUDITH OCHIENG FNP-BC LLC ” Practice Location

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