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NPI Code Detail

MEDICARE: HOLLY HUDSON

MEDICARE: HOLLY HUDSON
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0037291OH

General Provider Information

NPI Number : 1922828342
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY HUDSON
Provider Business Mailing Address
First Line : 4850 SMITH RD STE 250
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2733
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4850 SMITH RD STE 250
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2733
Country : US
Telephone Number : 513-236-5142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 10/13/2024

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Directions to “ HOLLY HUDSON ” Practice Location

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