Healthcare Provider Details

I. General information

NPI: 1790985570
Provider Name (Legal Business Name): ARRIENNE LIAN HUDNALL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE STE 1220
ATLANTA GA
30308-2237
US

IV. Provider business mailing address

550 PEACHTREE ST NE STE 1220
ATLANTA GA
30308-2237
US

V. Phone/Fax

Practice location:
  • Phone: 215-685-7521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP009536
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN546469
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN284981
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: