Individual
COURTNEY HUDNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 932759, CLEVELAND, OH 44193-0015
(937) 293-8228
(937) 293-8229
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.15532
OH
367500000X
Certified Registered Nurse Anesthetist
COA15532NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108040
—
OH
Enumeration date
03/27/2014
Last updated
09/02/2020
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