Healthcare Provider Details

I. General information

NPI: 1508470030
Provider Name (Legal Business Name): DIANE CAROL HUDSON-BARR PHD, RN, CNS, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANE CAROL HUDSON PHD, RN

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 PARK LN
STATE COLLEGE PA
16803-1441
US

IV. Provider business mailing address

1028 W 2ND ST
OIL CITY PA
16301-3122
US

V. Phone/Fax

Practice location:
  • Phone: 814-954-2544
  • Fax:
Mailing address:
  • Phone: 919-599-4971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number78163
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN245238L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP022983
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: