Individual provider · Type 1 NPI
Latice Hudson, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Charlotte, NC
NPI number
1134584915
Active
Practice location
321 W 11th St
Charlotte, NC 28202-0092
Mailing address
4519 Canipe Dr
Charlotte, NC 28269-5013
Other practice locations
- 5801 Executive Center Dr, Suite 200, Charlotte, NC 28212-8861 · (704) 567-0790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 194321 (NC) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5016147 (NC) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1134584915
Latice Hudson, NURSE PRACTITIONER's National Provider Identifier is 1134584915, issued on Dec 22, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Charlotte, NC. The record was last updated on May 2, 2022.