Individual
MS. DANIELLE MARIE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2025 CHANEYVILLE RD STE 200, OWINGS, MD 20736-4300
(410) 286-3865
(410) 286-8085
Mailing address
2025 CHANEYVILLE RD STE 200, OWINGS, MD 20736-4300
(410) 286-3865
(410) 286-8085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R170872
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457345
—
MD
01
—
N70808
CONTROLLED DANGEROUS SUBSTANCE (CDS)
MD
Enumeration date
01/05/2010
Last updated
10/23/2020
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