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JUDITH STEWART WACKENHUT CPNP
NPI 1275076101
Nurse Practitioner - Pediatrics in Alexandria, VA

Active since November 26, 2016
545 TRIADELPHIA WAY, ALEXANDRIA, VA 22312(205) 437-8870(205) 437-8875 Get Directions Write a Review

NPPES record last updated: November 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith Stewart Wackenhut Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH STEWART WACKENHUT CPNP (NPI 1275076101) is an individual pediatrics provider in Alexandria, Virginia, licensed in Virginia (0024087869) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1275076101
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJUDITH STEWART WACKENHUTCredential: CPNP
Location Address545 TRIADELPHIA WAYAlexandria, VA 22312-3496
Mailing Address545 Triadelphia WayAlexandria, VA 22312-3496 · (205) 437-8870 · Fax (205) 437-8875
Phone(205) 437-8870
Fax(205) 437-8875
Sole ProprietorYes
Enumeration DateNovember 26, 2016
✔ NPI 1275076101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VA · 0024087869
545 TRIADELPHIA WAY, Alexandria, VA 22312
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Wackenhut's NPI number?

The NPI number for Judith Wackenhut is 1275076101. It was assigned to this individual provider in the NPPES registry on November 26, 2016.

Where is Judith Wackenhut located?

Judith Wackenhut practices at 545 Triadelphia Way, Alexandria, VA 22312. The listed phone number is (205) 437-8870.

What is Judith Wackenhut's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Judith Wackenhut was last updated on November 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.