MR. MARK DUDLEY APRN NPI 1144223678

NPI Information

NPI: 1144223678
Provider Name: MR. MARK DUDLEY, APRN
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
1399 S 700 E STE 11B
SALT LAKE CITY, UT
ZIP 84105
Phone: (801) 918-9890
Get Directions

MR. Mark Dudley, APRN is a psychiatric/mental health and adult clinical nurse specialist in Salt Lake City, UT. MR. Mark Dudley, APRN NPI is 1144223678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1399 S 700 E STE 11B
SALT LAKE CITY, UT
ZIP 84105-149
Phone: (801) 918-9890
Fax: (801) 466-3195

The enumeration date for this NPI number is 5/30/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	1361364405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P33212	OTHER	UTAH	MEDICARE ADVANTAGE PLUS
2	94293834884047A017	OTHER	UTAH	CHAMPUS
3	P33212	MEDICARE UPIN
4	262137	OTHER	UTAH	DESERET MUTUAL
5	107002906101	OTHER	UTAH	INTERMOUNTAIN HEALTH CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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