IndividualActive
Shannon Hudson, IDC
NPI 1992774640 · Independent Duty Corpsman · Patuxent River, MD
Provider details
- NPI number
- 1992774640
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Practice location
47149 Buse Rd
Unit #1370
Patuxent River, MD 20670-1540
Phone: (301) 342-1429
Mailing address
2534 Gum Way
Lexington Park, MD 20653-2288
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2008-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.