Individual
TIM HUDSON
Active
Individual
TIM HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001129265
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024-168679
VA
Other
Enumeration date
11/16/2009
Last updated
03/09/2010
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