Individual
SUSAN RENAE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5277 MANHATTAN CIR STE 220, BOULDER, CO 80303-8201
(303) 720-1845
(303) 479-4958
Mailing address
4124 E 135TH PL, THORNTON, CO 80241-1572
(303) 808-3870
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0994873-NP
CO
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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