Individual
MS. MARY ANN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 COLLEGE STREET, BELOIT COLLEGE, BELOIT, WI 53511
(608) 363-2000
(614) 457-5982
Mailing address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5600-33
WI
363LP0200X
Pediatric Nurse Practitioner
COA13469-NP
OH
Other
Enumeration date
07/06/2012
Last updated
12/04/2013
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