Provider Demographics
NPI:1154028017
Name:LABENSKE, JUDITH SPAITE (RN)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:SPAITE
Last Name:LABENSKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2831
Mailing Address - Country:US
Mailing Address - Phone:619-218-5795
Mailing Address - Fax:
Practice Address - Street 1:828 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-2831
Practice Address - Country:US
Practice Address - Phone:619-218-5795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA388818163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator