Witt, Judith D

Witt, Judith D is an individual health care provider with primary practice located at 221 W Tyrone Rd , Oak Ridge TN 37830-6572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Witt, Judith D can be contacted via phone (865) 483-6343.

Contact Information

Primary practice address
221 W Tyrone Rd Oak Ridge TN 37830-6572
Phone: (865) 483-6343
Fax: (865) 483-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ANP08229 Tennessee

Profile Details

NPI number 1174566459
LBN Legal business name Witt, Judith D
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 11th, 2020 - about 6 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 1174566459 NPPES
Tennessee MEDICAID 5440734

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