Organization
SUSAN J HUDSON, CNM, LLC
Active
Other names
Wellspring Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JANE HUDSON MSN, CNM (PRESIDENT, OWNER)
(330) 416-9343
Entity
Organization
Contact information
Practice address
1392 HIGH ST, SUITE 210, WADSWORTH, OH 44281-8257
(330) 334-9355
Mailing address
607 FALLING OAKS DR, MEDINA, OH 44256-2719
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NM04655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090339
—
OH
Enumeration date
01/18/2012
Last updated
02/24/2012
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