MEDICARE: KRISTEN LAUREN HUDSON NP

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
1	363LA2100X	Acute Care Nurse Practitioner	AP5444	AZ

General Provider Information

NPI Number	:	1407279748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN LAUREN HUDSON NP

Provider Business Mailing Address
First Line	:	33300 N 32ND AVE STE 205
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-8825
Country	:	US
Telephone Number	:	602-861-1168
Fax Number	:

Provider Business Practice Location Address
First Line	:	33300 N 32ND AVE STE 205
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-8825
Country	:	US
Telephone Number	:	602-861-1168
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2014
Last Update Date	:	09/25/2025

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