Provider Demographics
NPI:1700223658
Name:HUDSON, MARIA J
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:J
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4506 PEARSE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44105-3242
Mailing Address - Country:US
Mailing Address - Phone:216-952-1924
Mailing Address - Fax:
Practice Address - Street 1:4506 PEARSE AVE
Practice Address - Street 2:
Practice Address - City:NEWBURGH HTS
Practice Address - State:OH
Practice Address - Zip Code:44105-3242
Practice Address - Country:US
Practice Address - Phone:216-952-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-02
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide