Provider Demographics
NPI:1932498821
Name:HUDSON-WHITE, TAMERA SHARANE (RN)
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:SHARANE
Last Name:HUDSON-WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TAMERA
Other - Middle Name:SHARANE
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:527 N MILLBROOK ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1654
Mailing Address - Country:US
Mailing Address - Phone:720-288-1112
Mailing Address - Fax:
Practice Address - Street 1:10065 E HARVARD AVE
Practice Address - Street 2:STE 400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5968
Practice Address - Country:US
Practice Address - Phone:303-614-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO168306163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care