Individual
STACEY BETH HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL RM 525, ANN ARBOR, MI 48109-4280
(734) 615-7845
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704252077
MI
Other
Enumeration date
05/06/2013
Last updated
12/18/2018
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