Provider Demographics
NPI:1043490725
Name:RESNICK, JUDITH ANN (RN)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANN
Last Name:RESNICK
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Gender:F
Credentials:RN
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Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:COUNTY OF ORANGE HCA, BUILDING 11
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92702-0355
Mailing Address - Country:US
Mailing Address - Phone:714-562-1772
Mailing Address - Fax:714-562-1773
Practice Address - Street 1:6301 BEACH BLVD
Practice Address - Street 2:SUITE 216, OC HCA PHCN AREA 1
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2840
Practice Address - Country:US
Practice Address - Phone:714-562-1772
Practice Address - Fax:714-562-1773
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
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Provider Licenses
StateLicense IDTaxonomies
CA178666163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management