Provider Demographics
NPI:1881953313
Name:HUDSON, CLAIRE BARBARA (LPN)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:BARBARA
Last Name: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 1:93 APPLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-5542
Mailing Address - Country:US
Mailing Address - Phone:814-323-7546
Mailing Address - Fax:
Practice Address - Street 1:93 APPLEWOOD LN
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-5542
Practice Address - Country:US
Practice Address - Phone:814-323-7546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA286359164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse