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NPI Code Detail

MEDICARE: JUDY L WARD-DEITS CRNA

MEDICARE: JUDY L WARD-DEITS CRNA
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
1367500000XCertified Registered Nurse Anesthetist276635CA

General Provider Information

NPI Number : 1992781389
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY L WARD-DEITS CRNA
Provider Business Mailing Address
First Line : 5800 RADCLIFF DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-3022
Country : US
Telephone Number : 530-757-1373
Fax Number :
Provider Business Practice Location Address
First Line : 2500 S WOODWORTH LOOP
Second Line :
City : PALMER
State : AK
Zip : 99645-8984
Country : US
Telephone Number : 907-861-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 07/31/2023

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Directions to “ JUDY L WARD-DEITS CRNA” Practice Location

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