Individual
MRS. MISTY DAWN HUDSPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLM CPM
Contact information
Practice address
28 S. COLLEGE AVE, #4, FAYETTEVILLE, AR 72701
(479) 236-7049
Mailing address
28 S. COLLEGE AVE, #4, FAYETTEVILLE, AR 72701
(479) 236-7049
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
032015
AR
176B00000X
Midwife
16030008
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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