Healthcare Provider Details

I. General information

NPI: 1073425286
Provider Name (Legal Business Name): HUDSON RIDGE NURSE PRACTITIONER IN ADULT HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 ROUTE 52 STE 104
FISHKILL NY
12524-3255
US

IV. Provider business mailing address

31 THISTLE LN
HOPEWELL JUNCTION NY
12533-3407
US

V. Phone/Fax

Practice location:
  • Phone: 845-224-4915
  • Fax:
Mailing address:
  • Phone: 845-224-4915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MARIE WALKER
Title or Position: CEO OWNER AND FOUNDER
Credential: NP
Phone: 845-224-4915