AMY ELIZABETH DUDLEY NPI 1588028567

NPI Information

NPI: 1588028567
Provider Name: AMY ELIZABETH DUDLEY
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 623 S MAIN ST STE 1
MOSCOW, ID
ZIP 83843
Phone: (208) 882-2011

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NPI Details

Amy Elizabeth Dudley is a family medicine in Moscow, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Amy Elizabeth Dudley NPI is 1588028567. 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:

623 S MAIN ST STE 1
MOSCOW, ID
ZIP 83843-983
Phone: (208) 882-2011
Fax: (208) 883-1853

The NPI 1588028567 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 4/6/2016 and was last updated on 9/12/2025.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	M-15297	IDAHO	No
2	207Q00000X	Family Medicine	MD60926794	WASHINGTON	Yes
3	207V00000X	Obstetrics & Gynecology	MD60926794	WASHINGTON	No
4	390200000X	Student in an Organized Health Care Education/Training Program			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: 11/21/2025

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