Victoria Hudak CRNP LLC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

Legal business name

VICTORIA HUDAK CRNP LLC

Doing business as

Victoria Hudak CRNP LLC

Practice address

422 Monocacy TRL
Spring Grove, PA 17362-1400

Phone

(717) 818-6441

NPI assigned

Mar 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria R Hudak, CRNP

Title

Owner

Phone

(717) 634-9020

Specialties & licenses 1

Addresses

Other names 1

• Victoria Hudak CRNP LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1457946576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MONOCACY TRL",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621400",
            "telephone_number": "717-818-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MONOCACY TRL",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621400",
            "telephone_number": "717-818-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HUDAK CRNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-634-9020",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Hudak CRNP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spring Grove Area Ambulance Club
• Spring Grove Area School District
• Spring Grove Family Care Center LLC
• Belinda Strouse, M ED
• Michael Eric Udo, D.C.
• Sarah Wagner, LCSW
• Matthew Denver Watkins-Greenholt
• Jacqueline R Weaver, PSY.D.
• Wellspan Medical Group (WellSpan Family Medicine - Spring Grove)
• Victoria Renee Ziegler, BSW

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Spring Grove, PA
• Providers in Spring Grove, PA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.