Individual ProviderJudith OchiengNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address177 N Church Ave, Tucson, AZ 85701-1121(520) 210-7008PECOS EnrollmentBased on the most recent information from CMS, provider Judith Ochieng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063841666Provider TypeIndividualFull NameOchieng, JudithCredentialFNP-PMHNPGenderFemaleSole ProprietorYesEnumeration Date11/4/2013Last Updated7/15/2024Contact InformationPractice LocationPractice Address177 N Church Ave, Tucson, AZ 85701-1121Phone(520) 210-7008Fax(520) 210-7398Mailing LocationMailing Address177 N Church Ave, Tucson, AZ 85701-1121Phone(520) 210-7008Fax(520) 210-7398Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseTAP5284ArizonaCode2084A0401XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseAP5284Arizona