Provider Demographics
NPI:1508470030
Name:HUDSON-BARR, DIANE CAROL (PHD, RN, CNS, CPNP)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:CAROL
Last Name:HUDSON-BARR
Suffix:
Gender:F
Credentials:PHD, RN, CNS, CPNP
Other - Prefix:DR
Other - First Name:DIANE
Other - Middle Name:CAROL
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, RN
Mailing Address - Street 1:1028 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-3122
Mailing Address - Country:US
Mailing Address - Phone:919-599-4971
Mailing Address - Fax:
Practice Address - Street 1:436 PARK LN
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1441
Practice Address - Country:US
Practice Address - Phone:814-954-2544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78163163W00000X
PARN245238L163W00000X
PASP022983363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse