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Vivian Dudley
Nurse Practitioner in Bourbon, Missouri
NPI 1013018654

Vivian Dudley is a Nurse Practitioner based in Bourbon, MO. Vivian Dudley practices in Bourbon, MO. The NPI Number for Vivian Dudley is 1013018654 and holds a License No. 142760 (Missouri).

The current practice location address for Vivian Dudley is 125 N Old Hwy 66, Bourbon, MO and can be reached out via phone at 573-679-2006 and via fax at 573-679-2009.

Location: 125 N Old Hwy 66, Bourbon, MO, 65441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013018654
Provider Name
Vivian Dudley
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 N Old Hwy 66, Bourbon, MO, 65441
Phone Number
573-679-2006
Fax Number
573-679-2009
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013018654 05 MO
425076205 05 MO
P01134574 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
125 N Old Hwy 66
City
Bourbon
State
Missouri
Zip
65441
Phone Number
573-679-2006
Fax Number
573-679-2009
person
Provider Business Mailing Address Details
Address
125 N Old Hwy 66
City
Bourbon
State
Missouri
Zip
65441
Phone Number
573-679-2006
Fax Number
573-679-2009
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
142760 (Missouri)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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