Ekblad, Judith
Ekblad, Judith is an individual health care provider with primary practice located at 10815 W Mcdowell Rd Ste 304 , Avondale AZ 85392-5016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ekblad, Judith can be contacted via phone (623) 251-7559.Contact Information
Primary practice address
10815 W Mcdowell Rd Ste 304
Avondale AZ 85392-5016
Phone: (623) 251-7559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP10170 | Arizona |
Profile Details
| NPI number | 1194253559 |
|---|---|
| LBN Legal business name | Ekblad, Judith |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194253559 | NPPES |
| Arizona | MEDICAID | 278816 | |
| Arizona | Other | Z205037 |
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