Whalio Doctors

NPI 1144223678

Mark Dudley, APRN

Practitioner Adult Psychiatric/Mental Health Clinical Nurse Specialist Salt Lake City, UT

Practice location

Address
1399 S 700 E STE 11b, Salt Lake City, UT 84105-2149
Phone
(801) 918-9890
Fax
(801) 466-3195
Mailing address
2386 Snow Mountain Dr, Sandy, UT 84093-1753

Registered specialties

Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence 1361364405 (UT)

Registry record

NPI
1144223678
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 May 2005
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.