Individual
MICHELLE L HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
6435 W JEFFERSON BLVD # 434, FORT WAYNE, IN 46804-6203
(260) 436-7875
(260) 432-9812
Mailing address
PO BOX 843603, DALLAS, TX 75284-0001
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
618232
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
28293804A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150186802
—
TX
05
—
150186804
—
TX
01
—
83890U
BLUE CROSS BLUE SHIELD
TX
01
—
86897U
BCBS/TEXAS
TX
Enumeration date
06/15/2006
Last updated
01/27/2025
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