Individual provider · Type 1 NPI

Judith Ida Spicer, CRNP

Family Nurse Practitioner · Fairfax, VA

NPI number 1952463549 Active

Practice location

12011 Lee Jackson Memorial Hwy, Kaiser Permanente Penderbrook Medical Center
Fairfax, VA 22033-3310

Fax (703) 383-5489

Mailing address

2101 E Jefferson St, Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0001083670 (VA)
Family Nurse Practitioner Primary 363LF0000X0024164531 (VA)

Family Nurse Practitioner: Definition to come...

28 other providers at this address

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About NPI 1952463549

Judith Ida Spicer, CRNP's National Provider Identifier is 1952463549, issued on Dec 14, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfax, VA. The record was last updated on Dec 6, 2012.