Individual
MRS. AMY COLLEEN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1164 1ST ST N, CARBON HILL, AL 35549-4811
(205) 387-4646
(205) 387-4656
Mailing address
1164 1ST ST N, CARBON HILL, AL 35549-4811
(205) 387-4646
(205) 387-4656
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
1-091624
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-091624
NURSING LICENSE NUMBER
AL
01
—
CC5WA04
MEDICAID PROVIDER NUMBER
AL
Enumeration date
01/17/2008
Last updated
01/17/2008
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