Provider Demographics
NPI:1609526706
Name:HUDGENS, AUNDREA (RN)
Entity Type:Individual
Prefix:
First Name:AUNDREA
Middle Name:
Last Name:HUDGENS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SALERNO RD
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-6392
Mailing Address - Country:US
Mailing Address - Phone:831-233-4574
Mailing Address - Fax:
Practice Address - Street 1:216 SALERNO RD
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-6392
Practice Address - Country:US
Practice Address - Phone:831-233-4574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA471939163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management