Basic Information
Provider Information
NPI: 1831120799
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIEHL-JUDGE
FirstName: NANCY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: PO BOX 12864
Address2:  
City: CHANDLER
State: AZ
PostalCode: 852480032
CountryCode: US
TelephoneNumber: 6022775551
FaxNumber:  
Practice Location
Address1: 650 E INDIAN SCHOOL RD # 111F
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850121839
CountryCode: US
TelephoneNumber: 6022775551
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XRN068721AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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