Individual
MRS. TANYA JUNE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
217 W. SMITH STREET, STRATFORD, OK 74872
(580) 759-2336
(580) 332-0383
Mailing address
217 W. SMITH STREET, STRATFORD, OK 74872
(580) 759-2336
(580) 332-0383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
69754
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0607273
AMERICAN ACADEMY OF NURSE
—
Enumeration date
10/29/2007
Last updated
11/02/2016
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