Individual
TANESHA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11271 SW 45TH MNR UNIT 209, MIRAMAR, FL 33025-7906
(313) 817-7655
Mailing address
11271 SW 45TH MNR UNIT 209, MIRAMAR, FL 33025-7906
(313) 817-7655
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704352677
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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