Provider Demographics
NPI:1073648234
Name:ARRUDA, JUDY ANN (APN)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ANN
Last Name:ARRUDA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 N 1350 E
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2581
Mailing Address - Country:US
Mailing Address - Phone:775-338-3970
Mailing Address - Fax:
Practice Address - Street 1:2270 N 1350 E
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2581
Practice Address - Country:US
Practice Address - Phone:775-338-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2016-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000705363L00000X
WAAP60143755363LF0000X
OR201050212NP363LF0000X
AZAP7368363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner