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Individual

REGINA ROSE HUDSON DE CORONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1776 INDEPENDENCE CT STE 302, VESTAVIA HILLS, AL 35216-1231
(205) 979-3381
Mailing address
2004 HICKORY RD, VESTAVIA HILLS, AL 35216-1520
(205) 960-5208

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-173905
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
216238
MT

Other

Enumeration date
09/22/2021
Last updated
07/12/2023
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