Individual provider · Type 1 NPI

Emiko N. Dudley, PNP

Pediatric Nurse Practitioner · San Antonio, TX

NPI number 1619342409 Active

Practice location

903 W Martin St
San Antonio, TX 78207-0903

Fax (210) 358-5476

Other practice locations

  • 4502 Medical Dr, San Antonio, TX 78229-4402 · (210) 358-3436

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP129237 (TX)
Pediatric Nurse Practitioner Primary 363LP0200XAP129237 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1619342409

Emiko N. Dudley, PNP's National Provider Identifier is 1619342409, issued on Dec 6, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Jun 20, 2019.