Individual provider · Type 1 NPI
Mark Dudley, APRN
Adult Psychiatric/Mental Health Clinical Nurse Specialist · Salt Lake City, UT
NPI number
1144223678
Active
Practice location
1399 S 700 E Ste 11B
Salt Lake City, UT 84105-2149
Fax (801) 466-3195
Mailing address
2386 Snow Mountain Dr
Sandy, UT 84093-1753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0809X | 1361364405 (UT) |
Adult Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1144223678
Mark Dudley, APRN's National Provider Identifier is 1144223678, issued on May 30, 2005. The primary taxonomy on file is Adult Psychiatric/Mental Health Clinical Nurse Specialist (364SP0809X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.