Glen I Judd, is a
Registered Nurse based in Elk Ridge, Utah. Glen I Judd is licensed to practice in Utah (license number 360342-3102) and his current practice location is
323 W Haleys Lookout, Elk Ridge, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 472-2452.
NPI number for Glen I Judd is 1346449428 and his current mailing address is 323 W Haleys Lookout, Elk Ridge, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346449428.
Provider's Profile
| Full Name | Glen I Judd |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 323 W Haleys Lookout, Elk Ridge, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346449428
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 07/17/2007
Medical Identifiers
Medical identifiers for Glen I Judd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346449428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 663310 (California) | Secondary |
| 163W00000X | Registered Nurse | 360342-3102 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glen I Judd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Glen I Judd, 323 W Haleys Lookout, Elk Ridge, UT 84651-4564 Ph: (801) 472-2452 | Glen I Judd, 323 W Haleys Lookout, Elk Ridge, UT 84651-4564 Ph: (801) 472-2452 |
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