Shanaz Nacy Judge, PMHNP
Nurse Practitioner, Psych/Mental Health in Bloomington, IN. Individual provider (NPI-1).
NPI number1710695937
StatusActive
Last updated in NPPESDec 19, 2022
Details
- NPI
- 1710695937
- Entity type
- Individual (NPI-1)
- Name
- Shanaz Nacy Judge
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Dec 19, 2022
- Last updated
- Dec 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 71013275A | IN | Yes |
Other names
- Shahnaz Nacy Judge (Professional Name)
Practice location
3600 N Prow RdBloomington, IN 47404-1616
Phone 812-331-8000
Mailing address
3611 S Bainbridge DrBloomington, IN 47401-8753
Phone 812-325-0391
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