Provider Demographics
NPI:1356466619
Name:ARZADON, JUDYANN (MA, ANP)
Entity Type:Individual
Prefix:
First Name:JUDYANN
Middle Name:
Last Name:ARZADON
Suffix:
Gender:F
Credentials:MA, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5513 MERRICK DR
Mailing Address - Street 2:STUDENT HEALTH SERVICES-UHEALTH PHYSIC. @ CORAL GABLES
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2531
Mailing Address - Country:US
Mailing Address - Phone:305-284-5921
Mailing Address - Fax:
Practice Address - Street 1:5513 MERRICK DR
Practice Address - Street 2:STUDENT HEALTH SERVICES-UHEALTH PHYSIC. @ CORAL GABLES
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2531
Practice Address - Country:US
Practice Address - Phone:305-284-5921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9306556363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0740G1Medicaid
NY0740G1Medicaid