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NPI Code Detail

MEDICARE: MRS. JUDI D NESWICK MSN RN CNL NCSN

MEDICARE: MRS. JUDI D NESWICK MSN RN CNL NCSN
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
1163WS0200XSchool Registered Nurse081725IA

General Provider Information

NPI Number : 1881192383
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDI D NESWICK MSN RN CNL NCSN
Provider Business Mailing Address
First Line : 3616 6TH AVE
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-2821
Country : US
Telephone Number : 712-276-3538
Fax Number :
Provider Business Practice Location Address
First Line : 3625 G ST
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-3466
Country : US
Telephone Number : 402-494-3061
Fax Number : 402-494-3061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 01/30/2018

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