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Individual

NANCY BLACK HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7670
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0777
(205) 481-7670
(205) 481-7573

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-039468
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R36170
VIVA HEALTH
AL
Enumeration date
09/14/2006
Last updated
07/08/2007
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