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NPI Code Detail

MEDICARE: SUSAN J HUDSON CNM

MEDICARE: SUSAN J HUDSON CNM
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
1176B00000XMidwifeNM04655OH

Other Identifiers

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

General Provider Information

NPI Number : 1861467730
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN J HUDSON CNM
Provider Business Mailing Address
First Line : 3569 RIDGE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-5443
Country : US
Telephone Number : 216-281-0872
Fax Number : 216-961-5429
Provider Business Practice Location Address
First Line : 3569 RIDGE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-5443
Country : US
Telephone Number : 216-281-0872
Fax Number : 216-961-5429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 02/13/2015

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Directions to “ SUSAN J HUDSON CNM” Practice Location

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