Judd, Carla Mason

Judd, Carla Mason is an individual health care provider with primary practice located at 7926 Preston Hwy Suite 106, Louisville KY 40219-3848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Judd, Carla Mason can be contacted via phone (502) 964-4357.

Contact Information

Primary practice address
7926 Preston Hwy Suite 106 Louisville KY 40219-3848
Phone: (502) 964-4357
Fax: (502) 966-5948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5050P Kentucky

Profile Details

NPI number 1407036429
LBN Legal business name Judd, Carla Mason
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Apr 13th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407036429 NPPES
Kentucky Other 000000546869 ANTHEM
Kentucky MEDICAID 7100037870 ANTHEM

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