IndividualActive
Mark Dudley, APRN
NPI 1144223678 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Salt Lake City, UT
Provider details
- NPI number
- 1144223678
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1361364405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1399 S 700 E Ste 11b
Salt Lake City, UT 84105-2149
Phone: (801) 918-9890
Fax: (801) 466-3195
Approximate (ZIP-level) locationGet directions
Mailing address
2386 Snow Mountain Dr
Sandy, UT 84093-1753
Registry dates
- Enumerated
- 2005-05-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.