TRACEY SUZANNE DUDLEY APRN NPI 1578065777

NPI Information

NPI: 1578065777
Provider Name: TRACEY SUZANNE DUDLEY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PULMONOLOGY INC

PECOS Registration: Yes

Address:
3613 NW 56TH ST STE 150
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 600-1210
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Tracey Suzanne Dudley, APRN is a family nurse practitioner in Oklahoma City, OK with 7 years of experience. Tracey Suzanne Dudley, APRN NPI is 1578065777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3613 NW 56TH ST STE 150
OKLAHOMA CITY, OK
ZIP 73112-506
Phone: (405) 600-1210

The NPI 1578065777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 2/3/2019.

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	363LF0000X	Nurse Practitioner	Family	101402	OKLAHOMA	Yes
2	364SP0200X	Clinical Nurse Specialist	Pediatrics	101402	OKLAHOMA	No

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: 11/14/2023

NPI Synchronization or Removal

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