Provider Demographics
NPI:1831348721
Name:SAWYER, JUDITH A (RN)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:A
Last Name:SAWYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:A
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, OPERATOR
Mailing Address - Street 1:203 S ILLINOIS ST
Mailing Address - Street 2:PO BOX 26
Mailing Address - City:OXFORD
Mailing Address - State:KS
Mailing Address - Zip Code:67119-8062
Mailing Address - Country:US
Mailing Address - Phone:620-455-3224
Mailing Address - Fax:620-455-3284
Practice Address - Street 1:419 N. PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:KS
Practice Address - Zip Code:67119
Practice Address - Country:US
Practice Address - Phone:620-455-3224
Practice Address - Fax:620-455-3284
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-56983-012163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse