Provider Demographics
NPI:1487912036
Name:CIURZYNSKI, JUDITH ANN (RN, LC)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANN
Last Name:CIURZYNSKI
Suffix:
Gender:F
Credentials:RN, LC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13764 COMUNA DR
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4639
Mailing Address - Country:US
Mailing Address - Phone:858-513-4266
Mailing Address - Fax:858-513-4266
Practice Address - Street 1:13764 COMUNA DR
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4639
Practice Address - Country:US
Practice Address - Phone:858-513-4266
Practice Address - Fax:858-513-4266
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN264121163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant