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NPI Code Detail

MEDICARE: MS. JENNIFER ANNE LUDWIG R.N.

MEDICARE: MS. JENNIFER ANNE LUDWIG R.N.
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
1163W00000XRegistered Nurse690086NY

General Provider Information

NPI Number : 1922498674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER ANNE LUDWIG R.N.
Provider Business Mailing Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6460
Fax Number : 607-844-3077
Provider Business Practice Location Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6460
Fax Number : 607-844-3077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2015
Last Update Date : 08/13/2024

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