Hudon, Tia B

Hudon, Tia B is an individual health care provider with primary practice located at 2225 E Flamingo Rd Ste 105 , Las Vegas NV 89119-5126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Hudon, Tia B can be contacted via phone (702) 877-8625.

Contact Information

Primary practice address
2225 E Flamingo Rd Ste 105 Las Vegas NV 89119-5126
Phone: (702) 877-8625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN000747 Nevada

Profile Details

NPI number 1285600502
LBN Legal business name Hudon, Tia B
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285600502 NPPES
Nevada MEDICAID 100500741
Nevada Other P00091698

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