Individual provider · Type 1 NPI

Judith A. Lane, NP

Family Nurse Practitioner · Phoenix, AZ

NPI number 1386939833 Active

Practice location

4545 E Shea Blvd, 175
Phoenix, AZ 85028-3074

Fax (480) 907-2108

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN102217 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1386939833

Judith A. Lane, NP's National Provider Identifier is 1386939833, issued on Jun 13, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 13, 2011.