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NPI Code Detail

MEDICARE: PATRICK DENNIS JUDD

MEDICARE: PATRICK DENNIS JUDD
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
1164W00000XLicensed Practical NurseP53921IA

General Provider Information

NPI Number : 1619821444
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK DENNIS JUDD
Provider Business Mailing Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number : 319-338-0581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “ PATRICK DENNIS JUDD ” Practice Location

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