Provider Demographics
NPI:1568804656
Name:HUDSON, VALERIE ANN
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ANN
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:ANN
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:4335 ISSAQUAH PINE LAKE RD SE
Mailing Address - Street 2:APT #1402
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-5285
Mailing Address - Country:US
Mailing Address - Phone:206-240-0153
Mailing Address - Fax:206-350-8977
Practice Address - Street 1:4335 ISSAQUAH PINE LAKE RD SE
Practice Address - Street 2:APT #1402
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-5285
Practice Address - Country:US
Practice Address - Phone:206-240-0153
Practice Address - Fax:206-350-8977
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00054500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse