MEDICARE: ARRIENNE LIAN HUDNALL CRNP

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	363LW0102X	Women's Health Nurse Practitioner	SP009536	PA
2	363LW0102X	Women's Health Nurse Practitioner	RN546469	PA
3	363LW0102X	Women's Health Nurse Practitioner	RN284981	GA

General Provider Information

NPI Number	:	1790985570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARRIENNE LIAN HUDNALL CRNP

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE STE 1220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE STE 1220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2237
Country	:	US
Telephone Number	:	215-685-7521
Fax Number	:

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

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	04/22/2025

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