TIA B HUDON PC NPI 1487107041

NPI Information

TIA B HUDON PC is a licensed practical nurse in Las Vegas, NV. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. TIA B HUDON PC NPI is 1487107041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2225 E FLAMINGO RD STE 105
LAS VEGAS, NV
ZIP 89119-126
Phone: (702) 487-7055

The provider's authorized official is Tia Hudon .
The authorized official title is Provider and has the following contact phone number (702) 487-7055.

The enumeration date for this NPI number is 8/1/2016 and was last updated on 11/1/2019.

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:

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