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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUDITH STEWART WACKENHUT, CPNP

Active Sole Proprietor

JUDITH STEWART WACKENHUT, CPNP is a Pediatric Nurse Practitioner healthcare provider located in ALEXANDRIA, Virginia. NPI 1275076101 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · ALEXANDRIA, VA

Registration Details

NPI Number
1275076101
Provider Type
Individual
Gender
Female
NPI Issued
Nov 26, 2016 (9.6909858691756 yrs)
Last Updated
Nov 26, 2016
License
0024087869 (VA)
Sole Proprietor
Yes

Practice Information

Address
545 TRIADELPHIA WAY
ALEXANDRIA, VA, 223123496
Browse VA providers · Browse ZIP 22312
Phone
2054378870
Fax
2054378875
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in ALEXANDRIA, VA

Name Credential NPI
DR. JENNIFER M WALSH RN CPNP 1346219169
MS. LINDA M HESTVIK RN MS CPNP 1790754513
THERESA P TANGHERLINI 1801852355
PAULA A MANION CPNP 1366408817
DEIRDRE D MAKINEN CPNP 1639136419
KAREN M JOHNSON NP 1053369868
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.