Provider Demographics
NPI:1801149141
Name:HUDSON, SHARONSHAY (RN, FNP PMHNP-BC DNP)
Entity type:Individual
Prefix:MS
First Name:SHARONSHAY
Middle Name:
Last Name:HUDSON
Suffix:
Gender:F
Credentials:RN, FNP PMHNP-BC DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 BAYCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1514
Mailing Address - Country:US
Mailing Address - Phone:914-393-7947
Mailing Address - Fax:
Practice Address - Street 1:3380 BAYCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1514
Practice Address - Country:US
Practice Address - Phone:914-393-7947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC80858163WC0400X
NY3285403363LP0808X
NY334605363LF0000X
NY471567163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator