Provider Demographics
NPI:1851454441
Name:NAGY, JUDITH ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:NAGY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:THOMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 WINDSOR CT
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-9780
Mailing Address - Country:US
Mailing Address - Phone:717-632-8196
Mailing Address - Fax:
Practice Address - Street 1:121 WINDSOR CT
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-9780
Practice Address - Country:US
Practice Address - Phone:717-632-8196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001112D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50079132OtherCAPITAL BLUE CROSS-WMG
PA2056761OtherHIGHMARK BLUE SHIELD
PA1573620OtherGATEWAY-WMG
PA2056761OtherHIGHMARK BLUE SHIELD