Provider Demographics
NPI:1912604836
Name:HUDNALL, ALMA ARACELY (FNP)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:ARACELY
Last Name:HUDNALL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALMA
Other - Middle Name:ARACELY
Other - Last Name:RIVERA BRAVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2404 W 13TH PL
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-4444
Mailing Address - Country:US
Mailing Address - Phone:928-817-9655
Mailing Address - Fax:
Practice Address - Street 1:2060 W 24TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6123
Practice Address - Country:US
Practice Address - Phone:928-819-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ287276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily