JUDITH STEWART WACKENHUT CPNP NPI 1275076101

NPI Information

NPI: 1275076101
Provider Name: JUDITH STEWART WACKENHUT, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
545 TRIADELPHIA WAY
ALEXANDRIA, VA
ZIP 22312
Phone: (205) 437-8870
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Judith Stewart Wackenhut, CPNP is a pediatrics nurse practitioner in Alexandria, VA. Judith Stewart Wackenhut, CPNP NPI is 1275076101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

545 TRIADELPHIA WAY
ALEXANDRIA, VA
ZIP 22312-496
Phone: (205) 437-8870
Fax: (205) 437-8875

The enumeration date for this NPI number is 11/26/2016 and was last updated on 11/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	0024087869	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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