Provider Demographics
NPI:1346967288
Name:HUDNALL, MEGAN M (BS ED , MS ED)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:HUDNALL
Suffix:
Gender:F
Credentials:BS ED , MS ED
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:M
Other - Last Name:DOODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5372 OLD VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:URBANNA
Mailing Address - State:VA
Mailing Address - Zip Code:23175-2179
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5372 OLD VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:URBANNA
Practice Address - State:VA
Practice Address - Zip Code:23175-2179
Practice Address - Country:US
Practice Address - Phone:804-758-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAB201704998146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic