Provider Demographics
NPI:1790809341
Name:HUDNALL, NANCY L (MSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:L
Last Name:HUDNALL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 WEST WHISPERING CREEK
Mailing Address - Street 2:
Mailing Address - City:OWENSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47665
Mailing Address - Country:US
Mailing Address - Phone:812-729-7723
Mailing Address - Fax:
Practice Address - Street 1:5659 S. STATE ROAD 61
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:IN
Practice Address - Zip Code:47598
Practice Address - Country:US
Practice Address - Phone:812-789-5434
Practice Address - Fax:812-789-2458
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor