Individual provider · Type 1 NPI

Judy Tack

Registered Nurse · Baldwinsville, NY

NPI number 1962712430 Active

Practice location

222 Deerwood Dr
Baldwinsville, NY 13027-3145

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X399291 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1962712430

Judy Tack's National Provider Identifier is 1962712430, issued on Oct 18, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Baldwinsville, NY. The record was last updated on Oct 18, 2010.