Mark Dudley in Salt Lake City - Psychiatric/mental Health, Adult
Mark Dudley - NPI 1144223678
Mark Dudley is a Psychiatric/mental Health, Adult in Salt Lake City, Utah. Mark Dudley practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Mark Dudley is 1144223678. The last update date is 2007-07-08.
Mark Dudley's current location address is 1399 S 700 E Ste 11b, Salt Lake City, Utah. You can contact this provider via phone number 8019189890 and fax number 8014663195. The mailing address for Mark Dudley is 1399 S 700 E Ste 11b, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Dudley |
|---|---|
| Address | 1399 S 700 E Ste 11b, Salt Lake City, Utah |
| Phone Number | 8019189890 |
| Fax Number | 8014663195 |
| Sole Proprietor | Y |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1144223678 |
|---|---|
| Provider Enumeration Date | 2005-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1399 S 700 E Ste 11b |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 8410521490 |
| Phone Number | 8019189890 |
| Fax Number | 8014663195 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 1361364405 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94293834884047A | UT | CHAMPUS | |
| 107002906101 | UT | INTERMOUNTAIN HEALTH CARE | |
| 262137 | UT | DESERET MUTUAL | |
| P33212 | UT | MEDICARE ADVANTAGE PLUS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Dudley by the Centers for Medicare & Medicaid Services?
The Mark Dudley has been issued the NPI (National Provider Identifier) 1144223678, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Dudley's facilities are situated?
The facilities of Mark Dudley are physically located at the following address: 1399 S 700 E Ste 11B, Salt Lake City, UT, 8410521490.
What is the Mark Dudley's specialty and taxonomy code?
The Mark Dudley's specialty is Psychiatric/mental Health, Adult, and the corresponding taxonomy code is 364Sp0809X.
When did Mark Dudley receive its 1144223678 assignment?
The Mark Dudley was assigned its 1144223678 on 2005-05-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark Dudley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Dudley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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