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NPI Code Detail

MEDICARE: TARA ANN HUDAK FNP

MEDICARE: TARA ANN HUDAK FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0032246OH

General Provider Information

NPI Number : 1992427488
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA ANN HUDAK FNP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 15149 SNOW RD
Second Line :
City : BROOKPARK
State : OH
Zip : 44142-2458
Country : US
Telephone Number : 216-279-2536
Fax Number : 888-355-6712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2022
Last Update Date : 01/29/2026

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