Tia B Hudon, APN | |
2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | |
(702) 877-8625 | |
Not Available |
Full Name | Tia B Hudon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 2225 E Flamingo Rd Ste 105, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285600502 | NPI | - | NPPES |
100500741 | Medicaid | NV | |
P00091698 | Other | NV | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | APN000747 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henderson Hospital | Henderson, NV | Hospital |
Entity Name | Bonnie J Fraser Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306207378 PECOS PAC ID: 2769776111 Enrollment ID: O20160808000665 |
Entity Name | Tia B Hudon Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107041 PECOS PAC ID: 6608162987 Enrollment ID: O20160913001629 |
Mailing Address | Practice Location Address |
---|---|
Tia B Hudon, APN 180 W Longacres Dr, Henderson, NV 89015-7914 Ph: (702) 487-7055 | Tia B Hudon, APN 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 Ph: (702) 877-8625 |
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