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NPI Code Detail

MEDICARE: JUDITH YUST APRN

MEDICARE: JUDITH YUST APRN
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
1363L00000XNurse Practitioner000266CT
2364S00000XClinical Nurse Specialist000266CT

General Provider Information

NPI Number : 1811946684
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH YUST APRN
Provider Business Mailing Address
First Line : 21 WATERVILLE RD
Second Line :
City : AVON
State : CT
Zip : 06001-2097
Country : US
Telephone Number : 860-674-2691
Fax Number : 860-677-6443
Provider Business Practice Location Address
First Line : 21 WATERVILLE RD
Second Line :
City : AVON
State : CT
Zip : 06001-2097
Country : US
Telephone Number : 860-674-2691
Fax Number : 860-677-6443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/11/2025

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Directions to “ JUDITH YUST APRN” Practice Location

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