Amanda Hudak, ARNP
Nurse Practitioner, Adult Health in University Place, WA. Individual provider (NPI-1).
NPI number1669922480
StatusActive
Last updated in NPPESDec 4, 2020
Details
- NPI
- 1669922480
- Entity type
- Individual (NPI-1)
- Name
- Amanda Hudak
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2016
- Certification date
- Dec 4, 2020
- Last updated
- Dec 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AP60702234 | WA | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | AP60702234 | WA |
Practice location
2901 Bridgeport Way WUniversity Place, WA 98466-4614
Phone 253-534-7000 · Fax 253-985-2853
Mailing address
2901 Bridgeport Way WUniversity Place, WA 98466-4614
Phone 253-534-7000 · Fax 253-985-2853
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