Provider Demographics
NPI:1952565012
Name:KAECHELE, JUDITH (FNP)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:KAECHELE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:KAECHELE
Other - Last Name:WEINDLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP
Mailing Address - Street 1:101 ACADEMY DR
Mailing Address - Street 2:HEALTH SERVICE
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02532-3405
Mailing Address - Country:US
Mailing Address - Phone:508-830-5243
Mailing Address - Fax:508-830-6468
Practice Address - Street 1:101 ACADEMY DR
Practice Address - Street 2:HEALTH SERVICE
Practice Address - City:BUZZARDS BAY
Practice Address - State:MA
Practice Address - Zip Code:02532-3405
Practice Address - Country:US
Practice Address - Phone:508-830-5243
Practice Address - Fax:508-830-6468
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001999363LF0000X
MARN2278378363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner