Individual
EDYTHE E HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP/PA
Contact information
Practice address
11511 CANTERWOOD BLVD NW, SUITE 145, GIG HARBOR, WA 98332-5813
(253) 530-2955
(253) 530-2970
Mailing address
11511 CANTERWOOD BLVD NW, SUITE 145, GIG HARBOR, WA 98332-5813
(253) 530-2955
(253) 530-2970
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP300000806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260536
STATE L&I
WA
01
—
0266728
STATE L&I
WA
Enumeration date
09/04/2006
Last updated
03/03/2011
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