Provider Demographics
NPI:1023391653
Name:PASSAGLIA, JUDITH RITA (RN,MS)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:RITA
Last Name:PASSAGLIA
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Gender:F
Credentials:RN,MS
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Mailing Address - Street 1:32 SEVILLE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2831
Mailing Address - Country:US
Mailing Address - Phone:650-401-3951
Mailing Address - Fax:650-723-0927
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:HCO29
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-3736
Practice Address - Fax:650-723-0927
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA1670364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist