Provider Demographics
NPI:1639524325
Name:SHUE, JUDITH (FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:SHUE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 N 7TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7454
Mailing Address - Country:US
Mailing Address - Phone:970-312-7001
Mailing Address - Fax:970-625-3169
Practice Address - Street 1:825 SANTA BARBARA BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-2072
Practice Address - Country:US
Practice Address - Phone:970-312-7001
Practice Address - Fax:970-625-3169
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0992346363LF0000X
FL11022755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0992346OtherAPN LICENSURE
FL11022755OtherAPN LICENSURE