| Mr Mark Dudley, APRN | |
|
1399 S 700 E Ste 11b, Salt Lake City, UT 84105-2149 | |
| (801) 918-9890 | |
| (801) 466-3195 |
| Full Name | Mr Mark Dudley |
|---|---|
| Gender | Male |
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
| Location | 1399 S 700 E Ste 11b, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144223678 | NPI | - | NPPES |
| 94293834884047A017 | Other | UT | CHAMPUS |
| 107002906101 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| 262137 | Other | UT | DESERET MUTUAL |
| P33212 | Other | UT | MEDICARE ADVANTAGE PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 1361364405 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Dudley, APRN 2386 Snow Mountain Dr, Sandy, UT 84093-1753 Ph: (801) 733-4376 | Mr Mark Dudley, APRN 1399 S 700 E Ste 11b, Salt Lake City, UT 84105-2149 Ph: (801) 918-9890 |
John Montford Jex, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 8 Th Ave & C St, Salt Lake City, UT 84143 Phone: 801-408-5585 | |
Miss Yuko Matsuoka, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2000 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-585-0100 | |
Dr. Carolyn Louise Anich, A.P.R.N., PHD Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 Fax: 801-584-2519 | |
Diane Young, FNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3018 E 3300 S, Salt Lake City, UT 84109 Phone: 801-815-2967 Fax: 385-275-7698 | |
Patricia J Dulle, M.S. APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 660 S 200 E, 308, Salt Lake City, UT 84111 Phone: 801-355-2846 Fax: 801-359-3244 | |
Cheryl M Jensen, A.P.R.N. Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2040 E. Murray Holladay Rd, Suite 222, Salt Lake City, UT 84117 Phone: 801-278-0499 Fax: 801-278-0489 |