Individual
MARY K HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6416 SHADY LN, FALLS CHURCH, VA 22042-2316
(703) 582-7478
Mailing address
6416 SHADY LN, FALLS CHURCH, VA 22042-2316
(703) 582-7478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001315920
VA
363L00000X
Nurse Practitioner
Primary
0024196883
VA
Other
Enumeration date
03/05/2026
Last updated
03/27/2026
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