Individual
MS. LATANIA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 305-1447
(314) 996-4546
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(314) 305-1447
(314) 996-4546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2006025679
MO
363L00000X
Nurse Practitioner
Primary
2025025426
MO
363LA2200X
Adult Health Nurse Practitioner
2025025426
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXXXXXXXXX
—
MO
Enumeration date
02/23/2018
Last updated
12/10/2025
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