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Deidre Dudley, NP
Family Nurse Practitioner in Lafayette, Indiana
NPI 1447569538

Deidre Dudley is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Deidre Dudley practices in Lafayette, IN and has the professional credentials of NP. The NPI Number for Deidre Dudley is 1447569538 and holds a License No. 71003413A (Indiana).

The current practice location address for Deidre Dudley is 1701 S Creasy Ln, Lafayette, IN and can be reached out via phone at 765-502-4917 and via fax at 765-502-4023.

Location: 1701 S Creasy Ln, Lafayette, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447569538
Provider Name
Deidre Dudley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1701 S Creasy Ln, Lafayette, IN, 48278-1076
Phone Number
765-502-4917
Fax Number
765-502-4023
Provider Enumeration Date
10/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201003580 05 IN
71003413A 01 IN LICENSE
institution
Provider Business Practice Location Address Details
Address
1701 S Creasy Ln
City
Lafayette
State
Indiana
Zip
47905-4972
Phone Number
765-502-4917
Fax Number
765-502-4023
person
Provider Business Mailing Address Details
Address
1701 S Creasy Ln
City
Lafayette
State
Indiana
Zip
47905-4972
Phone Number
765-502-4917
Fax Number
765-502-4023
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71003413A (Indiana)
Definition
Definition to come...
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