# WOUNDBRIDGE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013827849
- **Authorized official:** MR. LATANIA HUDSON APRN-NP (NURSE PRACTITIONER)
- **Authorized official phone:** (314) 497-6638

## Contact information

- **Practice address:** 4132 90TH AVE, FLORISSANT, MO 63034-2133
- **Practice address phone:** (314) 497-6638
- **Mailing address:** 4132 90TH AVE, FLORISSANT, MO 63034-2133
- **Mailing address phone:** (314) 497-6638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2026
- **Last updated:** 09/11/2026