person
Mr. Mark Dudley, APRN
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Salt Lake City, Utah
NPI 1144223678

Mark Dudley is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Sandy, UT and is specialized in Psychiatric/Mental Health, Adult. Mark Dudley practices in Salt Lake City, UT and has the professional credentials of APRN. The NPI Number for Mark Dudley is 1144223678 and holds a License No. 1361364405 (Utah).

The current practice location address for Mark Dudley is 1399 S 700 E Ste 11B, Salt Lake City, UT and can be reached out via phone at 801-918-9890 and via fax at 801-466-3195. You can also correspond with Mark Dudley through the mailing address at 2386 SNOW MOUNTAIN DR, SANDY, UT - 84093-1753 (mailing address contact number: 801-733-4376).

Location: 1399 S 700 E Ste 11B, Salt Lake City, UT, 84093-1753
person
Provider Profile Details
NPI Number
1144223678
Provider Name
Mark Dudley
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1399 S 700 E Ste 11B, Salt Lake City, UT, 84093-1753
Phone Number
801-918-9890
Fax Number
801-466-3195
Provider Enumeration Date
05/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94293834884047A017 01 UT CHAMPUS
107002906101 01 UT INTERMOUNTAIN HEALTH CARE
262137 01 UT DESERET MUTUAL
P33212 01 UT MEDICARE ADVANTAGE PLUS
institution
Provider Business Practice Location Address Details
Address
1399 S 700 E Ste 11B
City
State
Zip
84105-2149
Phone Number
801-918-9890
Fax Number
801-466-3195
person
Provider Business Mailing Address Details
Address
2386 Snow Mountain Dr
City
State
Zip
84093-1753
Phone Number
801-733-4376
Fax Number
801-466-3195
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
1361364405 (Utah)
Definition
Definition to come...

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