Individual provider · Type 1 NPI
Vivian Dudley
Nurse Practitioner · Bourbon, MO
Practice location
125 N Old Hwy 66
Bourbon, MO 65441
Fax (573) 679-2009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 142760 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1013018654
Vivian Dudley's National Provider Identifier is 1013018654, issued on Sep 26, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bourbon, MO. The record was last updated on Aug 25, 2014.