Provider Demographics
NPI:1346603198
Name:HUDSON, AVA CECILIA (ARNP)
Entity type:Individual
Prefix:MS
First Name:AVA
Middle Name:CECILIA
Last Name:HUDSON
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20601 WEST PAOLI LANE
Mailing Address - Street 2:
Mailing Address - City:WEIMER
Mailing Address - State:CA
Mailing Address - Zip Code:95736
Mailing Address - Country:US
Mailing Address - Phone:530-637-4025
Mailing Address - Fax:
Practice Address - Street 1:20601 WEST PAOLI LANE
Practice Address - Street 2:
Practice Address - City:WEIMER
Practice Address - State:CA
Practice Address - Zip Code:95736
Practice Address - Country:US
Practice Address - Phone:530-637-4025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN 9252051363L00000X
NY309763363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner