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Mr. Dudley M Waddle, NP
Family Nurse Practitioner in Conway, South Carolina
NPI 1942520705

Dudley M Waddle is a Family Nurse Practitioner based in Conway, SC and is specialized in Family. Dudley M Waddle practices in Conway, SC and has the professional credentials of NP. The NPI Number for Dudley M Waddle is 1942520705 and holds a License No. APN14935 (South Carolina).

The current practice location address for Dudley M Waddle is 132 Professional Park Dr Unit A, Conway, SC and can be reached out via phone at 843-347-4900.

Location: 132 Professional Park Dr Unit A, Conway, SC, 29526-9268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942520705
Provider Name
Dudley M Waddle
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
132 Professional Park Dr Unit A, Conway, SC, 29526-9268
Phone Number
843-347-4900
Fax Number
Provider Enumeration Date
06/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2575 05 SC
institution
Provider Business Practice Location Address Details
Address
132 Professional Park Dr Unit A
City
Conway
State
South Carolina
Zip
29526-9268
Phone Number
843-347-4900
Fax Number
person
Provider Business Mailing Address Details
Address
132 Professional Park Dr Unit A
City
Conway
State
South Carolina
Zip
29526-9268
Phone Number
843-347-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
18521 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APN14935 (Tennessee)
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.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN14935 (Tennessee)
Definition
Definition to come...
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