Individual provider · Type 1 NPI

Keith Michael Judelman, FNP, RN, EAMP

Family Nurse Practitioner · Sacramento, CA

NPI number 1104134386 Active

Practice location

1500 21st St
Sacramento, CA 95811

Mailing address

PO Box 2810
Weaverville, NC 28787-2810

Other practice locations

  • 4110 Stone Way N, Ste 1, Seattle, WA 98103-8000 · (206) 419-3868

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X60133669 (WA)
Family Nurse Practitioner 363LF0000X95012894 (CA)
Family Nurse Practitioner Primary 363LF0000XAP60995298 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1104134386

Keith Michael Judelman, FNP, RN, EAMP's National Provider Identifier is 1104134386, issued on Sep 21, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 17, 2020.