Provider Demographics
NPI:1326813007
Name:JUDITH L ARMSTRONG LLC
Entity Type:Organization
Organization Name:JUDITH L ARMSTRONG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:FPMHNP-BC
Authorized Official - Phone:580-761-0755
Mailing Address - Street 1:1701 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-2518
Mailing Address - Country:US
Mailing Address - Phone:405-724-6289
Mailing Address - Fax:877-841-1836
Practice Address - Street 1:1701 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-2518
Practice Address - Country:US
Practice Address - Phone:405-724-6289
Practice Address - Fax:877-841-1836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)