Provider Demographics
NPI:1790134773
Name:TEWS, JUDITH KAY (RN)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:KAY
Last Name:TEWS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:KAY
Other - Last Name:RABBITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1121 WAUSHARA DR
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-1648
Mailing Address - Country:US
Mailing Address - Phone:715-207-9879
Mailing Address - Fax:
Practice Address - Street 1:1121 WAUSHARA DR
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-1648
Practice Address - Country:US
Practice Address - Phone:715-207-9879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI140397-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse