Provider Demographics
NPI:1891950085
Name:AMBERSLEY-HUDSON, NOVLET (LPN)
Entity Type:Individual
Prefix:
First Name:NOVLET
Middle Name:
Last Name:AMBERSLEY-HUDSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 NW 207TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2331
Mailing Address - Country:US
Mailing Address - Phone:305-801-1683
Mailing Address - Fax:305-653-8790
Practice Address - Street 1:1340 NW 207TH ST STE D
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-2331
Practice Address - Country:US
Practice Address - Phone:305-801-1683
Practice Address - Fax:305-653-8790
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2010-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN1112631164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse