Individual
BRENDA LEE J HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0000
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0024174172
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0024174172
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024174172
VA
Other
Enumeration date
08/23/2017
Last updated
11/16/2023
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