Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CFO02654 | NC |
N | 225000000X | Orthotic Fitter | CFTS0060 | NC |
NPI | 1588101307 |
---|---|
Provider Name | Barbara C Hudnell |
First Address | New Bern, NC 28562-8454 |
Second Address | New Bern, NC 28562-8454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2017 |
Last Update Date | 31/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7795250 | (05) | NC |