BEVERLY ANN HUDDLESTON ARNP NPI 1063521870

NPI Information

  • NPI: 1063521870
  • Provider Name: BEVERLY ANN HUDDLESTON, ARNP
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 S SCHEUBER RD
    PMG SW WA CENTRALIA WOMEN CENTER
    CENTRALIA, WA
    ZIP 98531
  • Phone: (360) 330-8950

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NPI Details

Beverly Ann Huddleston, ARNP is an obstetrics and gynecology nurse practitioner in Centralia, WA. Beverly Ann Huddleston, ARNP NPI is 1063521870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 S SCHEUBER RD
PMG SW WA CENTRALIA WOMEN CENTER
CENTRALIA, WA
ZIP 98531-877
Phone: (360) 330-8950
Fax: (360) 330-8955

The NPI 1063521870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 5/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & GynecologyAP30004059WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19612268MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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