Provider Demographics
NPI:1508470030
Name:HUDSON-BARR, DIANE CAROL (PHD, RN, CNS, CPNP)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:CAROL
Last Name:HUDSON-BARR
Suffix:
Gender:F
Credentials:PHD, RN, CNS, CPNP
Other - Prefix:DR
Other - First Name:DIANE
Other - Middle Name:CAROL
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, RN
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:814-670-7950
Mailing Address - Fax:814-670-7951
Practice Address - Street 1:811 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-2077
Practice Address - Country:US
Practice Address - Phone:814-670-7950
Practice Address - Fax:814-670-7951
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78163163W00000X
PARN245238L163W00000X
PASP022983363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse