Individual
MS. MARY D HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 GRESHAM DR, SUITE 808, NORFOLK, VA 23507-1901
(757) 622-7998
(757) 215-2729
Mailing address
400 GRESHAM DR, SUITE 808, NORFOLK, VA 23507-1901
(757) 622-7998
(757) 215-2729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171112
VA
363LF0000X
Family Nurse Practitioner
APO3981
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15864
—
LA
01
—
C06209
GROUP PTAN
VA
Enumeration date
02/12/2007
Last updated
12/10/2013
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