Individual
FAYLENE RAE DANCER HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
333 N MAPLE, SUITE 105, SUTHERLAND, NE 69165
(308) 386-4799
(308) 386-4343
Mailing address
PO BOX 218, SUTHERLAND, NE 69165-0218
(308) 386-4799
(308) 386-4343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110778
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025994100
—
NE
01
—
NA1881001
MEDICARE
NE
Enumeration date
07/31/2006
Last updated
02/04/2026
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