| NPI | 1730639063 |
|---|---|
| Former Name | ALYSSA CARIN HUDDLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020018) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 21858) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 21858) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TN 21858) | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2022-12-09 |