MR. MARK DUDLEY (APRN) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1144223678
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2010-06-17. Reason: License revocation, suspension, or surrender.
Adult Psychiatric/Mental Health Clinical Nurse Specialist
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Provider Addresses for MR. MARK DUDLEY (APRN)
Snow Mountain Drive, Sandy, Salt Lake County, Utah, 84093, United States
SANDY, UT 840931753
Phone: (801) 733-4376
Fax: (801) 466-3195
Type: Mailing
700 East, The Avenues, Salt Lake City, Salt Lake County, Utah, 84103, United States
SALT LAKE CITY, UT 841052149
Phone: (801) 918-9890
Fax: (801) 466-3195
Type: Location
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 84093)
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