Judy De la Vega
Judy De la Vega is a Nurse Practitioner in Spanish Fork, Utah. Qualified in 2023, 3 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Texas and Utah.
- Years since qualifying
- 3
- Licensed in
- TX, UT
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
972 N 600 ESpanish Fork, UT 84660-1306
Phone: (801) 465-4896
Fax: (385) 203-0392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 13470553-4405 (UT) |
|---|---|
| Emergency Registered Nurse | Taxonomy 163WE0003X · Licence 947995 (TX) |
Record details
| NPI number | 1376242644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2023 |
| Last updated in NPPES | March 4, 2024 |
| Certification date | March 4, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |