MEDICARE: BARBARA C HUDNELL CFO,

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	225000000X	Orthotic Fitter	CFO02654	NC
2	225000000X	Orthotic Fitter	CFTS0060	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588101307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA C HUDNELL CFO,

Provider Business Mailing Address
First Line	:	223 BUNGALOW DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-8454
Country	:	US
Telephone Number	:	252-945-2829
Fax Number	:	252-633-0622

Provider Business Practice Location Address
First Line	:	223 BUNGALOW DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-8454
Country	:	US
Telephone Number	:	252-945-2829
Fax Number	:	252-633-0622

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

Provider Enumeration Date	:	01/31/2017
Last Update Date	:	01/31/2017

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Directions to “ BARBARA C HUDNELL CFO,” Practice Location

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